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Background Guangdong, which stands at the frontier of emerging infections, has developed an innovative system approach to this threat. The province of 110 million inhabitants, a major hub for domestic and international trade, includes mega-cities side-by-side with small-scale agricultural areas in a region from which recent strains of influenza and other respiratory viruses have emerged. Guangdong residents consume chicken and purchase it at live poultry markets, which can accelerate the emergence of influenza strains and transmission to humans. We describe Guangdong’s approach to surveillance and public health emergency response.

At the frontier of the global battle against emerging infections: surveillance and management of avian influenza A(H7N9) in Guangdong Province, China