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Viewing cable 08GUANGZHOU737, INFANT CONTRACTS AVIAN INFLUENZA A (H9N2) VIRUS IN

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Reference ID Created Released Classification Origin
08GUANGZHOU737 2008-12-31 08:17 2011-08-23 00:00 UNCLASSIFIED Consulate Guangzhou
VZCZCXYZ0000
RR RUEHWEB

DE RUEHGZ #0737 3660817
ZNR UUUUU ZZH
R 310817Z DEC 08
FM AMCONSUL GUANGZHOU
TO RUEHC/SECSTATE WASHDC 0085
INFO RUEHGZ/CHINA POSTS COLLECTIVE 0037
RUEHGZ/ASEAN REGIONAL FORUM COLLECTIVE
RUEAIIA/CIA WASHDC 0037
RUEKJCS/DIA WASHDC 0037
RUEAUSA/DEPT OF HHS WASHINGTON DC 0004
RUEKJCS/SECDEF WASHDC//USDP/ISA/AP// 0001
RHMFISS/CJCS WASHINGTON DC//J2/J3/J5//
RHHMUNA/CDR USPACOM HONOLULU HI//J00/J2/J3/J5// 0004
RHEFAFM/DIRNCMI FT DETRICK MD//MA-1A//
UNCLAS GUANGZHOU 000737 
 
SIPDIS 
 
STATE FOR ENVIRONMENT SCIENCE AND TECHNOLOGY COLLECTIVE 
STATE FOR EAP/CM, OES/IHA, MED, CA/OCS/ACS/EAP 
STATE PASS TO USAID FOR ANE AND GH 
DEPARTMENT OF DEFENSE FOR OSD/ISA/AP 
HHS PASS TO OGHA, NIH/FIC, CDC/COGH AND FLU DIV TMOUNTS AND NCOX 
USDA PASS TO APHIS, FAS (OSTA AND OCRA), FSIS 
BANGKOK FOR RMO, CDC, USAID 
BEIJING FOR HHS HEALTH ATTACHE AND RMO 
 
E.O. 12958: N/A 
TAGS: TBIO KFLU CASC SOCI PREL HK CH
SUBJECT: INFANT CONTRACTS AVIAN INFLUENZA A (H9N2) VIRUS IN 
SHENZHEN, HOSPITALIZED IN HONG KONG 
 
1. Summary: An eleven-week old girl who resides in Shenzhen has 
reportedly contracted avian influenza A (H9N2) virus.  She is being 
treated in a Hong Kong hospital.  Some medical experts have 
expressed concern that avian influenza A (H9N2) virus - which has 
only been documented in a low pathogenic form, compared to highly 
pathogenic avian influenza A (H5N1) virus -  might have mutated 
because the girl did not initially exhibit a fever.  Shenzhen 
officials are investigating the source of the infection, but have 
not yet released any findings.  End summary. 
 
2. According to media reports, an eleven-week old girl living in 
Shenzhen, Guangdong Province, contracted avian influenza A (H9N2) 
virus and is now being treated at Tuen Mun Hospital in Hong Kong. 
The girl was born in Hong Kong, and her parents took her to Tuen Mun 
Hospital on December 22 after she exhibited coughing and vomiting. 
Because she had no fever, the hospital did not suspect AI after her 
first admission.  She was discharged the next day and returned with 
her parents to Shenzhen.  Her parents took her back to Tuen Mun 
Hospital on December 29, after which blood tests determined she was 
infected with avian influenza A (H9N2) virus.  Avian influenza A 
(H9N2) virus has only been documented in a low pathogenic form, 
compared to highly pathogenic avian influenza A (H5N1) virus.  Media 
reports indicate she is in stable condition, but still has an 
elevated white blood cell count, which doctors suspect may be due to 
causes other than the avian influenza A (H9N2) virus infection. 
They are testing her for leukemia. 
 
3. Medical experts are reportedly concerned that the avian influenza 
A (H9N2) virus may have mutated because the girl did not initially 
develop a fever.  Hong Kong and Guangdong health officials have been 
in contact with each other to speed investigation of the infection 
source. 
 
4. Shenzhen officials have sent a team to investigate the 
residential area in Shenzhen's Nansha District, where the patient 
lives, and indicated they would release an update when more 
information is available.  They advised local residents to reduce 
contact with live poultry.  The patient's doctor in Hong Kong told 
reporters that the family did not raise chickens and that other 
members of the family have not displayed any symptoms of contracting 
the virus. 
 
5. This cable was coordinated with Embassy Beijing and Consulate 
General Hong Kong. 
 
GOLDBERG