• Thu
  • Sep 18, 2014
  • Updated: 1:12pm
H7N9 avian flu
NewsHong Kong

H7N9 bird flu may be spread through human faeces, research suggests

PUBLISHED : Thursday, 15 August, 2013, 12:00am
UPDATED : Thursday, 15 August, 2013, 8:15am

The H7N9 bird flu that emerged on the mainland in March may be spreading through human faeces, as university researchers found the virus in the stools of four out of six people killed by the bug in Zhejiang .

Theoretically, the virus could spread in the same way as severe acute respiratory syndrome (Sars) did during the 2003 outbreak in Amoy Gardens, Kowloon Bay - through sewage pipes - University of Hong Kong microbiologist Yuen Kwok-yung, a top researcher behind the cross-border study, told the South China Morning Post.

"This has important implications on the infection control strategies for H7N9 virus infection, as the influenza virus in stools may contaminate the surrounding environment," Yuen and his team reported.

But the team also suggested that the fact the virus may be transmitted via faeces was the reason why, so far, few cases of human-to-human infection had been recorded, Yuen said.

HKU conducted the joint study with Zhejiang University's First Affiliated Hospital in Hangzhou and published the results in the Clinical Infectious Diseases journal on Tuesday. They tested 12 patients who were admitted to the intensive care unit between April 10 and 23. Half of them have died.

During post-mortem tests, stool samples collected from four of the six fatalities returned positive results for the H7N9 strain.

The rate - 67 per cent - was much higher compared with those found for human flu or H5N1 bird flu, which ranged from 5 per cent to 33 per cent, the report said.

None of the blood or urine samples from the six dead patients carried H7N9. Other tissue samples, from the lung, heart, liver, kidney and bone marrow, also tested negative.

Earlier this month, Chinese researchers said their findings indicated that the H7N9 bird flu "has not gained the ability for efficient sustained transmission from person to person", although a father infected with the deadly virus was believed to have passed it to his daughter in Wuxi , Jiangsu .

In 2003, Hong Kong dealt with the deadly Sars outbreak, after it had first appeared on the mainland in late 2002.

At the Amoy Gardens housing estate 329 people were infected with Sars, of whom 42 died. The cause was traced to the sewage system which, because of its design, released the virus into the air when toilets were flushed.

It is not known whether H7N9 bird flu can be transmitted in the same way, but Yuen believed it was "theoretically possible".

"The efficiency of human-to-human transmission is very poor up until now," he said.

He stressed that the faeces of sick birds were still suspected to be the most common means by which the bird flu virus spreads.

Human waste should be handled more carefully under infection control measures, Yuen said.

The H7N9 virus was first identified in eastern China, with the first known human case reported in March. Thus far there have been 135 confirmed cases and 45 deaths.


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This article is now closed to comments

So wash you hands after doing "whatever"....................... and stay away from humans!
Let's hope sh*t won't hit the fan.
looks like they have isolated the poopertrator - 45 H7N9 deaths so far
Meanwhile 1,000,000 people in China and 7,000 in Hong Kong per year die of smoking related diseases
and 30,000 road deaths (plus several hundred thousand injured) each year in China. This 47 from bird-infected humans is really SCARY !
HKU and Zhejiang University ..... " are you having a laugh" ?
I will recommend strongly that all outdoor plumbing should be checked for leaks. Hong Kong should remember how a leaking waste line at a housing estate spread the SARS virus that took 300 lives. Building regulation may also want to consider making code requirement all plumbing especially the waste line should be enclosed in a plumbing chase wall – a common practice in New York City.
Too, I strongly recommend that all floor drains should be kept refilled periodically with water to prevent drying out of their water seal which would become a leak of waste line. When traveling for a length of time, seal up your floor drain. Hong Kong shouldn’t forget how a resident staying at length in China from his Hong Kong apartment who started the spread of SARS at Amoy Estate.
By the way, floor drains connected to waste line is not allowed in New York City.
@"By the way, floor drains connected to waste line is not allowed in New York City. "
So where does the soiled water go? Into the drinking water supply?......
Or allowed to spray out over pedestrians walking below?
it goes to the soiled line. I think the weather is just a bit too hot for a reasonable deduction. No?


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