---
title: H7N9 - Is it time to hit the panic button?
description: H7N9 - Is it time to hit the panic button?
---

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## H7N9 - Is it time to hit the panic button?

<http://static1.squarespace.com/static/595689fc9de4bbc892200518/t/59568acd5fd63b5f2928794e/1498845276932//img.jpg.com/static/595689fc9de4bbc892200518/t/59568acd5fd63b5f2928794f/1498843853851/1000w/>

Sick I know, but announcements of newly identified  
 "bugs" both excite and depress me.   
 It's exciting to watch the developments unfold as scientists from around  
 the world work to identify the "bug", determine where it came from,  
 how it's transmitted and what the potential threat to humans is.  It's depressing because each time a new  
 "bug" is found, I kick myself for deciding to enter the world of the  
 working rather than moving onto a masters in Epidemiology. 

While there is still much to learn about the H7N9 Bird  
 Flu strain, one thing for certain is that the death toll and number of  
 infections in China from the strain of bird flu first found in humans last  
 month has ticked up daily.  As of April  
 9, the virus has infected 28 people and killed eight in China. However, none of the people who have had  
 close contact with the victims have shown symptoms of the flu (at least not  
 yet), but the WHO is investigating two family clusters to who are suspected of  
 having H7N9 to determine if transmission between close family members has  
 occurred.  But for now, there is no  
 evidence of human to human transmission.

So far, the H7N9 virus has only been found in farm-raised  
 pigeons, chickens and quail and wild birds (which could be concerning as we are  
 moving into migrating season).  It has  
 yet to be found in pigs or other mammals.   
 However, one noticeable difference between the new H7N9 outbreak and the  
 H5N1 avian influenza outbreaks of 1997 and 2003 is in how the virus is  
 affecting birds.  The H7N9 virus does not  
 seem to be noticeably deadly among birds where as the H5N1 strain was.

According to scientists, the gene sequences confirm that  
 this is an avian virus, and that it is a low pathogenic form (causes only mild  
 disease in birds),  but most importantly,  
 the sequences also reveal  that there are  
 some mammalian adapting mutations in some of the genes meaning that the H7N9  
 virus has already acquired some of the genetic changes it would need to mutate  
 into a form that could be transmitted from person to person.  In which case, if it became easily  
 transmissible between humans, it could cause a deadly pandemic.

For now, the big question is what will happen in the  
 Southern Hemisphere which is just heading into their flu season.  Although human-to-human transmission has not  
 been seen yet, should it occur experts are not expecting to see any immunity to  
 H7N9 if it does happen. While the panic  
 button hasn't been hit yet, everyone is watching very closely and until more  
 information is gathered current recommendations are for healthcare workers  to manage all patients displaying  
 influenza-like illness and with travel history to China in the past ten days  
 with Routine Practices and contact, droplet and airborne precautions.  

*Bugging Off!*

Nicole

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