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Number of Current MERS Infections on the Arabian Peninsula May Be Declining

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Since January 1, 2014, about 250 cases of MERS infection have been reported by various public health agencies and official media outlets. The number of reported cases began to increase dramatically about the 9th of April. Most of these cases (about 200) have been reported from the Kingdom of Saudi Arabia. The graph below suggests that the number of MERS cases may have peaked about April 20, and the outbreak is now being better controlled.    Notes: The date of onset for an individual case is used where available. If onset date is unavailable, the date of hospitalization or death is used. If the case is reported as asymptomatic or no other information is available, the date of report of the case is used.

H7N9 Cases in China Continue to Increase

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On January 24 th ,   I posted a graph plotting the growth rate of H7N9 cases in China. Based on the trend (link), I estimated that between 30-40 cases of H7N9 would be reported in the coming weeks. Using current data for onset dates (through February 4, 2014), an updated plot indicates a total of 39 H7N9 cases for both Week 4 and Week 5. More than 30 H7N9 cases (without onset dates) have already been reported for Week 6. If the number of cases continues to increase at an exponential rate, more than 100 people a week will be reported as H7N9 cases by Week 7 or Week 8.   If the rate continues at its current pace, China will be experiencing an H7N9 epidemic within the near future. Current graph of H7N9 cases through Week 5.

More H7N9 cases can be expected in the next several weeks

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Based on the reports from the People’s Republic of China (China), there is only limited human to human transmission of the novel A(H7N9) influenza virus.   However the number of sporadic cases reported by China is increasing dramatically.   The distribution of reported cases since November of 2013   has been increasing almost geometrically (graph below). Based on the trendline, between 30-40 cases per week may be expected within the next several weeks in China. Graph notes: The weekly totals are counts based on reported onset dates for the 2013-2014 influenza season. The data do not include 18 cases announced in the past several days for which onset dates have not yet been reported.