Global Economy

WHO issues advice after world's first human death in China from H3N8 bird flu


A Chinese woman has become the first human to die from H3N8 bird flu – a type of avian influenza that is rare in humans, the World Health Organisation (WHO) said. The 56-year-old woman was from China’s southern province of Guangdong and she was the the third person known to have been infected with the H3N8 subtype of avian influenza, the WHO said in a statement. All the three cases have been reported from China, according to WHO. Though rare in people, H3N8 is common in birds. It has also infected other mammals.

Based on the information available at this time, WHO has advised against the application of travel or trade restrictions.

Human cases of infection with avian influenza viruses are usually the result of direct or indirect exposure to infected live or dead poultry or contaminated environments.

The patient was hospitalized for severe pneumonia on 3 March 2023 and subsequently died on 16 March 2023. “Environmental samples were collected from the patient’s residence and the wet market where the patient spent time before the onset of illness. The results of testing showed that the samples collected from the wet market were positive for influenza A(H3),” WHO said.

The case was detected through the severe acute respiratory infection (SARI) surveillance system. The patient had multiple underlying conditions. She had a history of exposure to live poultry before the onset of the disease, and a history of wild bird presence around her home. No close contacts of the case developed an infection or symptoms of illness at the time of reporting, WHO said. .

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WHO said that based on available information “it appears that this virus does not have the ability to spread easily from person to person, and therefore the risk of it spreading among humans at the national, regional, and international levels is considered to be low.”

About H3N8
According to WHO, zoonotic (an infection that is transmitted between species from animals to humans or from humans to animals) influenza infections in humans may be asymptomatic or may cause disease. Depending on factors related to the specific virus and the infected host, disease can range from conjunctivitis or mild flu-like symptoms to severe acute respiratory disease or even death. Gastrointestinal or neurological symptoms have been reported but these are rare.

WHO’s advice
To minimize the risk of infection, WHO said, countries should increase public awareness of the importance of avoiding contact with high-risk environments such as live animal markets/farms, live poultry, or surfaces that may be contaminated by poultry or bird faeces.

WHO also recommends to maintain good hand hygiene by frequently washing hands or using alcohol-based hand sanitizer and wearing respiratory protection when in a risky environment. And the public should avoid contact with animals that are sick or dead from unknown causes and should report the occurrence to the authorities.

Travellers to countries with known outbreaks of animal influenza should avoid farms, contact with animals in live animal markets, entering areas where animals may be slaughtered, or contact with any surfaces that appear to be contaminated with animal faeces or other body fluids. Travellers should also wash their hands often with soap and water and follow good food safety and good food hygiene practices.

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