Avian Influenza H7N9 Project InstructionsThis is a 4-part project. Review the Background Information document, which contains descriptions of the origins of a novel avian influenza threat that began in the winter of 2013, and the fictional scenario based in Zambia suggesting a potential for development of a more serious epidemic situation.This project will be completed in 4 parts:Part 1: The Situation Assessment (Due on Sunday Sep 3, 2017)You will write a 5-page research-based paper in current AMA format focusing on the potential of avian influenza A (H7N9) to expand into a local epidemic or spread beyond to pandemic proportions. The paper must include at least 5 peer-reviewed references in addition to the readings supplied in the scenario, textbooks, and the Bible. A biblical perspective on the response must be considered and referenced appropriately.
So 626 Assignment 1
HLTH 626 Background Information Cheng M. Health and Wellness: Evidence suggests new bird flu spread among people. USA Today. August 7, 2013: http://www.usatoday.com/story/news/health/2013/08/06/bird-flu-spread/2625877/. Department of Health and Human Services. NIH begins testing H7N9 avian influenza vaccine candidate. National Institutes of Health: Turning Discovery to Health. September 18, 2013. http://www.nih.gov/news/health/sep2013/niaid-18.htm World Health Organization. Background and summary of human infection with influenza A(H7N9) virus– as of 5 April 2013. http://www.who.int/influenza/human_animal_interface/latest_update_h7n9/en/index.html Published April 5, 2013. Accessed September 28, 2013. Centers for Disease Control and Prevention. Emergence of avian influenza A (H7N9) virus causing severe human illness—China, February-April 2013. MMWR. May 10, 2013; 62(18):366–371. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6218a6.htm?s_cid=mm6218a6_w World Health Organization. Global Alert and Response (GAR): Human infection with influenza A(H7N9) virus in China. Geneva, Switzerland: World Health Organization; 2013. Available at http://www.who.int/csr/don/2013_04_01/en/index.html
So 626 Assignment 1
HLTH 626 Fictional Zambia Scenario In mid-December, a cluster of 7 cases of a severe flu-like illness was identified in a rural village in Zambia. The index case was a 12-year-old child who died at home on the 4th day of the illness. The other cases include the girl’s mother, a younger brother, and 4 classmates at the small school at the edge of the village. Each of the secondary cases was exposed to the index case and developed symptoms of influenza within 2–5 days of exposure. Presenting symptoms for all cases included fever over 101 ͦ F, dry cough, sore throat, headache, and myalgia. All of the affected individuals sought care at the village health center and were attended by a community health worker (CHW). The CHW became concerned about the brother of the index case on the sixth day of illness when the child developed hemoptysis and increasing respiratory distress. He was referred to Mtendere Mission Hospital in the Southern Providence of Zambia near the border with Zimbabwe, where he subsequently died a week later. Viral cultures from the boy’s nasopharynx were submitted to CIDRZ laboratory in Lusaka, Zambia at the time of admission. Samples were forwarded to the National Institute for Communicable Diseases (NICD) in South Africa as well as the Centers for Disease Control and Prevention (CDC) in the United States. Both laboratories isolated an influenza A (H7N9) strain similar to the Chinese strain of H7N9 originally isolated in August 2013. The remaining 5 cases have recovered significantly since being diagnosed. The average duration of most symptoms for the survivors was approximately 8 days; however, profound fatigue persisted beyond 2 weeks. Neither of these cases required a referral for hospitalization, thus viral cultures were not submitted. Investigation of potential sources of the infection suggested a possible link to imported chickens. The father of the index case had purchased several birds from a Chinese vendor using a micro loan a few weeks prior to the outbreak. The index case was responsible for cleaning the chicken coup outside the family’s home. The girl’s mother and brother had no history of exposure to the chicken coup. The other children at school also denied history of exposure to chickens. The family’s flock has been destroyed by government authorities because of the possible association of the index case and chickens. Laboratory officials are now reporting influenza A (H7N9) virus in at least one chicken. Confirmatory studies are underway.

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