Bird flu cases in China still a puzzle

Dec 10 2007

Health authorities in China say the search for a causal link between a son and his father, both victims of bird flu, has revealed no evidence that the virus has mutated into a new strain.

The 52-year old father, a native of Nanjing, capital of Jiangsu, was diagnosed with the H5N1 strain of bird flu late last week in the eastern province, only days after his 24-year old son died from the deadly virus.

When members of the same family contract the disease alarm bells ring because health experts fear the virus has mutated into a form which is transferred between humans, a scenario which would set the stage for a global pandemic.

Until now all cases of the H5N1 strain of bird flu in humans has been the result of close contact with infected poultry or birds.

Chinese Health Ministry spokesman Mao Qun'an says an analysis of a sample taken from the dead son has indicated the bird flu virus has not mutated, but the possibility of human-to-human transmission in this case could not be excluded.

Mao Qun'an says the virus remains an avian virus and has not undergone a mutation.

He speculates that one of the men might nonetheless have infected the other through close contact, or they might have become infected from another source or even from separate sources.

Mao Qun'an says a thorough investigation is under way and until that is complete a final determination on these three possibilities cannot be offered.

The father is now said to be in stable condition and showing signs of improvement and of the 69 people who had close contact with the son, 55 have been released from medical observation.

Among the 20 close contacts with the father, six also had close contact with the son and are currently under strict medical observation, but so far none have shown any unusual symptoms.

The World Health Organisation in Beijing, says it has no additional information on the outbreak.

Earlier reports had said that the son had had no contact with dead poultry and there had been no reported poultry outbreak in Jiangsu province.

China has the world's biggest poultry population and millions of birds live in people's backyards and the country is at the centre of the fight against bird flu.

There have been other cases of human infection without confirmed outbreaks among birds in the same area and some reports suggest that the two men had eaten chicken that was not fully cooked in a restaurant in Nanjing, capital of Jiangsu.

These two latest cases bring the number of confirmed human infections of bird flu in China since 2003 to 27 with 17 deaths.

Bird flu is a contagious disease of animal origin caused by viruses that normally infect only birds and, less commonly, pigs.