First H3N8 bird flu death recorded in China

“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,” the United Nations health agency said in a statement.

“No close contacts of the case developed an infection or symptoms of illness at the time of reporting,” it added.

While exposure to a live poultry market may have caused the infection, “it is still unclear what the exact source of this infection is and how this virus is related to other avian influenza A(H3N8) viruses that are circulating in animals”, the WHO said, calling for further animal and human investigations.

Of the two cases last year, one developed a critical illness, while the other had a mild illness. Both cases likely acquired infection from direct or indirect exposure to infected poultry, the WHO said.

“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,” the Geneva-based organisation said.

“However, due to the constantly evolving nature of influenza viruses, WHO stresses the importance of global surveillance to detect virological, epidemiological and clinical changes associated with circulating influenza viruses which may affect human (or animal) health.”

Human bird flu cases are usually the result of direct or indirect exposure to infected live or dead poultry or contaminated environments.

The WHO said animal influenza infections could result in diseases ranging 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, it added.