Official said the next step is to strengthen the medical MBT Sandals surveillance of the bird flu virus, which is critical to control its spread. "The virus has been changing and might be mutating. We should pay close attention to its changes," Fukuda from the WHO said.East China's Shandong Province has confirmed its first case of H7N9, according to the provincial health department. The man, a 36-year-old construction materials wholesaler from Zaozhuang City, tested positive for the H7N9 avian influenza virus on Monday by the Shandong Provincial Center for Disease Control and Prevention. The result was confirmed by the Chinese Center for Disease Control and Prevention on Tuesday. The man is in serious Cheap MBT Shoes condition. Nine people who have had close contact with him have not exhibited any abnormal symptoms. As of Monday afternoon, a total of 104 H7N9 cases have been reported in China, including 21 that have ended in death.Another person died from H7N9 bird flu in China on Tuesday, bringing the nationwide death toll to 22. The Department of Health of east China's Zhejiang Province reported that an 86-year-old man surnamed Zhao, who had previously tested positive for the H7N9 virus, died on Tuesday morning after emergency treatment failed. The province also reported two more infection cases. An 84-year-old retired man surnamed Hong and a 62-year-old Discount MBT Shoes farmer surnamed Song were confirmed to be infected with the new strain of the virus. Both are in critical condition. Meanwhile, east China's Shandong Province has confirmed its first case of H7N9, according to the provincial health department on Tuesday. A new case of H7N9 bird flu was confirmed by the health bureau of east China's Anhui Province on Tuesday, bringing the total number of positive cases in the province to four. A 91-year-old man surnamed Wang from the county-level city of Tianchang, Chuzhou http://www.lightech.it/cheapmbtshoes.asp City, tested positive for the new strain of avian influenza on Monday. He is in a critical condition. Thirty-five people who were in close contact with the patient have been placed under medical observation, but have so far shown no abnormal symptoms. The neighboring Zhejiang Province reported two more infection cases Tuesday. An 84-year-old retired man surnamed Hong and a 62-year-old farmer surnamed Song were confirmed to be infected with the new strain of the virus. Both are in critical condition. Meanwhile, east China's Shandong Province has confirmed its first case of H7N9, according to the provincial health MBT Shoes On Sale department. As of Monday afternoon, a total of 104 H7N9 cases had been reported in China, including 21 that have ended in death.A 65-year-old H7N9 patient in central China's Henan Province was discharged from hospital on Tuesday afternoon after being successfully treated in a local hospital. A farmer surnamed Zhang, a native of Chuanhui District of Zhoukou City developed symptoms of fever, cough and muscle pain on April 8. Zhang was sent to a hospital in Zhoukou City two days later. He was tested positive for the H7N9 bird flu virus by the provincial disease control and prevention center on April 11 and confirmed as a H7N9 infection case on April 14. After MBT Shoes Discount treatment and examination, Zhang's health met the standards of the National Health and Family Planning Commission, and he was discharged. According to the local health department, the conditions of another two infected patients' in the province are stable. Also on Tuesday, east China's Shandong Province reported a 36-year-old construction materials wholesaler was confirmed to be infected with the H7N9 avian influenza virus, the first case reported in the province.During the 24-hour period ending at 4 p.m. on Tuesday, China confirmed four new cases of human H7N9 avian influenza, including two in Zhejiang, one in Anhui and the first case in MBT Shoes Clearance Shandong. The National Health and Family Planning Commission said in its daily update on H7N9 cases that a total of 108 H7N9 cases have been reported in China, including 22 that have ended in death. Of the total, 14 H7N9 patients have been discharged from hospitals after receiving treatment, and the other 72 patients are being treated in designated hospitals, according to the commission. A total of 33 cases, including 12 that have ended in death, have been reported in Shanghai. Twenty-four cases, including three deaths, have been reported in Jiangsu Province, and 42 cases, including six deaths, in Zhejiang Province. Anhui Province has reported four cases, with one ending in death. Beijing has reported one case and three have been reported in Henan Province, with one in Shandong. 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