Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009 - April 9, 2009

[Gert van der Hoek]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

The incidence of the fifty-sixth human bird flu of a child of the Fayoum

Fayyoum - Editor Masrawy - confirmed Sunday 56 human infection of bird flu in Egypt since the emergence of the disease and so far, and that of a child from Fayoum province, at the age of two years.

Deputy Minister of Health Affairs, Dr. Nasr preventive child that Mr. Yusuf Mohamed Said Abdel Azim of the second village management Yousef province of Fayoum, Friend, developed symptoms on Wednesday and entered the hospital Saturday, the Tamiflu drug, which is suffering from high fever and cough, and after being of the dead birds were also suspected of the disease, while the rest of the parent birds slaughtered in the house.

He added that the child was given a drug "Altamflo" as soon as suspected cases of cholera and the condition is now critical to the hospital on a respirator the Tamiflu drug.

Also detained a hospital Shebin Menoufia housewife (55 years) are invited Shadia Mohammad Fahim / 55 for suspicion of bird flu.

Turned out to be the breeding birds in her sample had been referred to and sent to labs central Ministry of Health to make sure that her disease.

Sources: Middle East News Agency, Masrawy

http://www.masrawy.com/News/Egypt/Politics/2009/march/1/birdflu.aspx?ref=rss

[Laidback Al]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

The two year old boy is from يوسف الصديق (Yusuf Friend) a second level administrative division in Al Fayyum Governorate. The central location for Yusuf Friend is 29.360018, 30.446806.

[sharon sanders]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Yusef originally diagnosed with cholera -


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السنة 133-العدد

Year 133 - Issue </td><td>

2009

2009 </td><td>

مارس

Mar </td><td>

2

2 </td><td>

5 من ربيع الاول 1430 هـ

5 of the spring 1430 the first e </td><td>

الأثنين

Monday </td></tr></tbody></table>

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إصابة طفل بالفيوم بمرض إنفلونزا الطيور

Fayyoum a child with avian influenza

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كتب ــ حسام زايد:

Hossam Zayed wrote:

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أعلن الدكتور نصر السيد مساعد وزير الصحة للشئون الوقائية أن الطفل يوسف عبد العظيم من احدي قري مركز يوسف الصديق محافظة الفيوم, ظهرت عليه أعراض الاصابة بمرض بانفلونزا الطيور ودخل المستشفي, حيث يعاني من ارتفاع في درجة الحرارة والسعال, وذلك اثر تعرضه لطيور نافقة يشتبه باصابتها بالمرض.

Mr. Al-Nasr, Assistant Minister of Health Affairs that the child protective Youssef Abdel Azim of the status of a village in Fayoum governorate friend Yusuf, developed symptoms of the disease, bird flu and was hospitalized, suffering from fever and cough, and after being exposed to birds suspected of bird flu.

وأضاف أنه تم إعطاء الطفل عقار' التامفلو' فور الاشتباه بإصابته بالمرض وحالته المرضية حرجة وهو الآن علي جهاز التنفس الصناعي بمستشفي منشية البكري. يذكر أن هذه الإصابة البشرية رقم56 بمرض انفلونزا الطيور.

He added that the child was given a drug 'Altamflo' immediately after the suspected cases of cholera and the critical condition is now on a ventilator hospital, the Tamiflu drug. Mentioned that the number of human infection of bird flu 56.

http://translate.google.com/translate?langpair=auto|en&u=http://www.ahram.org.eg/

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[sharon sanders]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

<table style="border-collapse: collapse; text-align: left; direction: ltr;" id="autonumber2" border="0" bordercolor="#111111" cellpadding="4" cellspacing="0" width="640"><tbody><tr><td align="center" valign="middle">Avian influenza infection recorded 56 <!--heade--></td></tr><tr><td>

كتب ـ محمد حسان:

Mohamed Al-Hassan:

سجلت إنفلونزا الطيور الحالة رقم56 بإصابة جديدة لطفل عمره عامان من مركز يوسف الصديق بمحافظة الفيوم, ليواصل الفيروس مداهمته للأطفال دون سن العاشرة, خاصة أن آخر5 حالات للإصابة بالمرض كانت من نصيب الأطفال في تلك السن.

Recorded bird flu case No. 56 injured new boy friend of the Center for Yusuf Fayoum province, to continue to raid the virus to children under the age of ten, especially the last 5 cases of the disease was one of the share of children in that age.

وقال الدكتور نصر السيد مساعد وزير الصحة والسكان للشئون الوقائية إنه تم نقل الطفل بعد معاناته من ارتفاع في درجات الحرارة والسعال الشديد إلي مستشفي منشية البكري في حالة سيئة دخل علي أثرها العناية المركزة, وتم وضعه علي جهاز التنفس الصناعي.

Dr. Nasr said Assistant Minister of Health and Population Affairs preventive child had been taken after suffering from high temperatures and severe cough Bakri hospital in the capital in a poor state revenue impact of intensive care, was put on a ventilator.

وكشف الترصد الوبائي للحالة أن الطفل تعرض لطيور نافقة يشتبه بإصابتها بالمرض فيما قامت الأم بذبح باقي الطيور الموجودة في المنزل, وقال د. نصر السيد إنه تم أخذ عينات من جميع المخالطين لفحصها والتأكد من خلوها من الإصابة أو العدوي بفيروس إنفلونزا الطيور.

The epidemiological surveillance of the situation that a child exposed to birds suspected bird flu disease in the mother's slaughter of birds in the rest of the house, he added. Mr. Nasr had been taking samples from all contacts to be tested and that they are free of infection or infection with avian influenza .

http://translate.google.com/translate?langpair=auto|en&u=http://massai.ahram.org.eg/

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[HenryN]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Yusef originally diagnosed with cholera -


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<table style="text-align: left; direction: ltr;" bgcolor="#ffffff" border="0" cellpadding="4" cellspacing="0"><tbody><tr><td>44646 </td><td>

السنة 133-العدد

Year 133 - Issue </td><td>

2009

2009 </td><td>

مارس

Mar </td><td>

2

2 </td><td>

5 من ربيع الاول 1430 هـ

5 of the spring 1430 the first e </td><td>

الأثنين

Monday </td></tr></tbody></table>

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إصابة طفل بالفيوم بمرض إنفلونزا الطيور

Fayyoum a child with avian influenza

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كتب ــ حسام زايد:

Hossam Zayed wrote:

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أعلن الدكتور نصر السيد مساعد وزير الصحة للشئون الوقائية أن الطفل يوسف عبد العظيم من احدي قري مركز يوسف الصديق محافظة الفيوم, ظهرت عليه أعراض الاصابة بمرض بانفلونزا الطيور ودخل المستشفي, حيث يعاني من ارتفاع في درجة الحرارة والسعال, وذلك اثر تعرضه لطيور نافقة يشتبه باصابتها بالمرض.

Mr. Al-Nasr, Assistant Minister of Health Affairs that the child protective Youssef Abdel Azim of the status of a village in Fayoum governorate friend Yusuf, developed symptoms of the disease, bird flu and was hospitalized, suffering from fever and cough, and after being exposed to birds suspected of bird flu.

وأضاف أنه تم إعطاء الطفل عقار' التامفلو' فور الاشتباه بإصابته بالمرض وحالته المرضية حرجة وهو الآن علي جهاز التنفس الصناعي بمستشفي منشية البكري. يذكر أن هذه الإصابة البشرية رقم56 بمرض انفلونزا الطيور.

He added that the child was given a drug 'Altamflo' immediately after the suspected cases of cholera and the critical condition is now on a ventilator hospital, the Tamiflu drug. Mentioned that the number of human infection of bird flu 56.

http://translate.google.com/translate?langpair=auto|en&u=http://www.ahram.org.eg/

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Please. Tamiflu is not used to treat cholera.

[sharon sanders]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

I think the "cholera" reference may be an indication of diarrhea as a prevalent symptom in this strain of H5N1.

It would be nice to have more verified epidemiological evidence of any of these suspected/confirmed cases.

[Giuseppe]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

WHO | Avian influenza - situation in Egypt - update 5

Avian influenza - situation in Egypt - update 5

2 March 2009 --

The Ministry of Health and Population of Egypt has reported a new confirmed human case of avian influenza on 1 March 2009.


The new case is a two-year old male from Yousef el seddik district of Fayoum Governorate whose symptoms began on 25 February.

He was hospitalized and treated at the Manshiet Elbakry general hospital on 28 February and is currently in a critical condition.

Infection with H5N1 avian influenza was confirmed by the Egyptian Central Public Health Laboratory on 1 March.

Investigations into the source of infection indicate a history of close contact with dead and sick poultry prior to becoming ill.

Of the 56 cases confirmed to date in Egypt, 23 have been fatal.
-

<cite cite="http://www.who.int/csr/don/2009_03_02/en/index.html">WHO | Avian influenza - situation in Egypt - update 5</cite>

[Sally Furniss]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Detained in hospital Shebin Monoufia (90 kilometers to the north of Delta, Egypt), called the Pentecostal Chadia. M (55 years), suspected of being infected with bird flu, and it has been shown to raise birds at home.

Sample was taken for analysis and sent to the central laboratory of the Ministry of Health and Population of Egypt in Cairo to make sure of her disease.

The symptoms of the disease, appeared on the woman, was Isaaffha to hospital, where doctors suspected the possibility of being infected with bird flu, and decides to keep them under treatment and observation.


احتجز مستشفى شبين الكوم في المنوفية (90 كيلو مترا شمال دلتا مصر)، خمسينية تدعى شادية.م (55 عاماً)، للاشتباه في إصابتها بانفلونزا الطيور ، وتبين أنها دأبت على تربية الطيور في منزلها.
تم أخذ عينة منها لتحليلها وإرسالها إلى المعامل المركزية في وزارة الصحة والسكان المصرية في القاهرة للتأكد من إصابتها بالمرض.
وكانت أعراض المرض، ظهرت على السيدة، فتم إسعافها إلى المستشفى، حيث اشتبه الأطباء في احتمال إصابتها بانفلونزا الطيور، وتقرر إبقاؤها قيد العلاج والملاحظة.

http://www.alraimedia.com/Alrai/Article.aspx?id=115762

[Giuseppe]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

[WARNING: Google Raw Machine Translation. See original article at http://www.almasry-alyoum.com/articl...ticleID=201255 - EDITED. Arabic portion is below the translation. IOH]


Fayyoum hospital diagnosed the situation of children infected with bird flu as the ?inflammatory ...?

Mohammad Farghali 3-3 / 2009

Al ?Egyptian today? from an official source in the Fayoum General Hospital that the child Mohammed Al-Yousef, who the Ministry of Health announced yesterday that died of avian flu, was admitted to hospital last Thursday night, there was no specialist to check it was diagnosed as suffering from pneumonia in the tonsils, he said, adding that his condition worsened until 16 hours has been bringing in specialists to sign a medical examination, and after his condition worsened, has been transferred to Cairo.

The source added that under the 6 hours in the hospital until his condition worsened, and was transferred to Cairo in an ambulance No. 851/21 Code 23, the leadership of Khalil Kamel, Ahmed Robbie helpful.

The father of the child that the wrong diagnosis confirms the continuing neglect in the Fayoum General Hospital, adding that his son began suffering from high temperatures on Thursday morning, after a presentation to a physician in his clinic for Ibcoay referred to the central hospital, but doctors there could not succor not provide him with any health care only on a set of oxygen to his shortness of breath, and then referred it to the hospital administration Fayoum General Hospital on Thursday evening, remained in the inner section of the fifth evening, one morning, without health care.

He added: We turned to a senior official at the presidency - not morning - attended the intervention of the entire medical team, headed by Dr. Mohamed Azmi, director of the hospital, although this has not been diagnosed in the final due to differences in the ear and throat doctors and inward, and ended up diagnosed as inflammation in the tonsils causing pneumonia and deducted in the heart muscle,

After attending a specialist ear nose and asked us to sign a declaration of an operation in the tonsils of responsibility for the evacuation in the event of complications, the director of the hospital, but objected to, and so we have been the eighth on Saturday morning, and the condition deteriorated, hospital to hospital Vohna Misr University for Science and Technology, but have not been diagnosed as well.
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[ARABIC]

مستشفى الفيوم يشخص حالة الطفل المصاب بأنفلونزا الطيور على أنها ?التهاب باللوزتين?

كتب محمد فرغلى ٣/ ٣/ ٢٠٠٩

علمت ?المصرى اليوم? من مصدر مسؤول فى مستشفى الفيوم العام أن الطفل يوسف محمد السعيد، الذى أعلنت وزارة الصحة أمس عن إصابته بمرض أنفلونزا الطيور، دخل المستشفى مساء الخميس الماضى، ولم يكن هناك إخصائى لتوقيع الكشف الطبى عليه فتم تشخيص حالته على أنه مصاب بالتهاب فى اللوزتين، لافتا إلى أن حالته ساءت وظل ١٦ ساعة حتى تم استقدام أحد الإخصائين لتوقيع الكشف الطبى عليه، وبعد أن ساءت حالته تم نقله للقاهرة.

وأضاف المصدر أنه ظل ٦ ساعات فى المستشفى حتى ساءت حالته، وتم نقله إلى القاهرة داخل سيارة إسعاف رقم ٨٥١/٢١ كود ٢٣، قيادة خليل كامل، والمسعف أحمد روبى.

وقال والد الطفل إن التشخيص الخاطئ يؤكد استمرار الإهمال داخل مستشفى الفيوم العام، موضحا أن ابنه بدأ يعانى من ارتفاع فى درجة الحرارة صباح الخميس الماضى، وبعد عرضه على أحد الأطباء فى عيادته الخاصة أحاله إلى مستشفى إبشواى المركزى، إلا أن الأطباء هناك لم يستطيعوا إسعافه ولم يقدموا له أى رعاية صحية سوى وضعه على جهاز الأكسجين لإصابته بضيق فى التنفس، ثم أحالته إدارة المستشفى إلى مستشفى الفيوم العام مساء اليوم نفسه، وظل فى قسم الباطنة من الخامسة مساء حتى الواحدة صباحا دون رعاية صحية.

وأضاف: لجأنا لمسؤول كبير فى رئاسة الجمهورية - لم يسمه - للتدخل فحضر فريق طبى كامل برئاسة الدكتور محمد عزمى، مدير المستشفى، ورغم ذلك لم يتم تشخيص حالته بشكل نهائى بسبب اختلاف أطباء الأذن والحنجرة والباطنة فيها، وانتهى الأمر إلى تشخيصها على أنها التهاب فى اللوزتين تسبب فى إصابته بالتهاب رئوى وتخضم فى عضلة القلب،

وبعد حضور إخصائى الأنف والأذن طلب منا التوقيع على إقرار لإجراء عملية جراحية فى اللوزتين لإخلاء مسؤوليته عند حدوث مضاعفات له، لكن مدير المستشفى اعترض على ذلك، وظللنا حتى الثامنة من صباح السبت، وكانت حالته تدهورت، فأحالنا المستشفى إلى مستشفى جامعة مصر للعلوم والتكنولوجيا، لكن لم يتم تشخيص الحالة أيضا.
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[Sally Furniss]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Two-year-old Egyptian boy has bird flu

04 Mar 2009 20:31:34 GMT
<!-- 04 Mar 2009 20:31:34 GMT ## for search indexer, do not remove --> Source: Reuters

CAIRO, March 4 (Reuters) - A two-year-old Egyptian boy has contracted bird flu but is in a stable condition, the state-run news agency quoted the Health Ministry as saying on Wednesday. The Middle East News Agency (MENA) quoted ministry spokesman Abdelrahman Shahine as saying Abdullah Nagy Amran, from Alexandria province in northern Egypt, showed symptoms on Wednesday after coming into contact with dead birds. He was given the antiviral drug Tamiflu at an Alexandria hospital, MENA said. It was not yet known if he had the H5N1 virus.

Egypt is one of the few countries affected by bird flu that does not compensate farmers when poultry is destroyed, though many experts say this is the best way to ensure rapid detection of new outbreaks.

Some 5 million Egyptian households depend on poultry as a main source of food and income. Since 2003, the H5N1 avian influenza virus has infected at least 409 people in 15 countries and killed 254 of them. It has killed or forced the culling of more than 300 million birds in 61 countries in Asia, the Middle East, Europe and Africa. While H5N1 rarely infects people, experts fear it could mutate into a form that people could easily pass to one another, sparking a pandemic that could kill millions.

(Writing by Will Rasmussen, editing by Tim Pearce)

http://www.alertnet.org/thenews/newsdesk/L4102873.htm

[sharon sanders]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

hat tip Fla Medic and Zeinobia -

Zeinobia confirmed to me that she found the information about these 2 new cases in a newspaper but there is no link. I do not know if they are suspected or confirmed H5N1.

Also, they are not the first bird flu cases in Cairo.


H5N1 Human infection reaches to Cairo

The first two human infection cases in Cairo were announced yesterday. Azza Hassen Hafiz "32 yrs old" and her 55 yrs old mother Ansaf Ibrahim Mustafa were infected by H5N1 from the domestice poultry they used to raise. They live in the Sahal area in Cairo. They were transferred to the hospital and were found H5N1 positive. Hopefully they will be cured.

[HenryN]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

<TABLE class=lan18 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=hei22 vAlign=bottom height=25>Egypt reports 57th human case of bird flu
</TD></TR><TR><TD bgColor=#ffffff height=4></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=8></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD width="48%">www.chinaview.cn 2009-03-05 06:36:18</TD><TD class=hui12 align=middle width="26%"> </TD><TD class=hui12 align=middle width="12%"> Print</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="80%" border=0><TBODY><TR><TD height=20></TD></TR></TBODY></TABLE><TABLE class=lt14 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=lt14>



CAIRO, March 4 (Xinhua) -- An Egyptian boy at the age of two years and eight months has contracted bird flu virus, bringing the number of human case of the avian influenza to 57 in the country, a Health Ministry spokesman said Wednesday.
The boy, Abdullah Nagy Amran, comes from the northern Egyptian governorate of Alexandria, some 220 km northwest of Cairo, the state MENA news agency quoted the spokesman Abdel Rahman Shahine as saying.
The boy showed symptoms after contacting with dead birds on Wednesday, and he is in a stable condition after being admitted to a hospital and given the antiviral drug Tamiflu, said Shahine.
This is the second human case of bird flu less than a week in Egypt, where millions of families raise poultry as a source of food and income.
On Sunday, Egyptian Health Ministry confirmed that two-year-old boy Youssef Abdel-Azim from Fayoum governorate, some 85 km south of Cairo, was infected with bird flu virus.
Egypt is the most affected country by the deadly avian influenza outside Asia. It reported its first H5N1 virus in dead poultry in February 2006 and the first human case in March of the same year.
According to the World Health Organization (WHO), some 409 people in 15 countries and regions have contracted the virus and 256 of them died of the disease as of March 2. 　

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http://news.xinhuanet.com/english/2009-03/05/content_10944869.htm

[HenryN]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Updated map

http://maps.google.com/maps/ms?ie=UTF8&hl=en&t=p&msa=0&msid=106484775090296685271.00045e1b927e68d58eab0&ll=30.883369,31.003418&spn=3.601352,6.064453&z=7

[HenryN]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Commentary at

http://www.recombinomics.com/News/03050901/H5N1_Egypt_Vaccine_X_2.html

[sharon sanders]

Re: Latest Egypt Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

CAIRO - Editor Masrawy - on Wednesday confirmed the incidence of human disease, the seventh session of avian influenza in a child at the age of two years and 8 months from the Alexandria governorate, Ameriya.

وقال الدكتور عبدالرحمن شاهين المتحدث الرسمي لوزارة الصحة والسكان مساء الأربعاء إن بداية ظهور أعراض المرض على الطفل عبدالله ناجى عمران كانت الثلاثاء حيث دخل على اثرها مستشفى حميات الإسكندرية وهو يعانى من ارتفاع فى درجة الحرارة وسعال عقب تعرضه لطيور نافقة يشتبه فى إصابتها بمرض أنفلونزا الطيور، مضيفا أنه فور الاشتباه فى إصابته بالمرض تم إعطائه عقار التاميفلو، ووصف حالته المرضية بالمستقرة.

And Dr. Abdel Rahman Shahin said the official spokesman for the Ministry of Health and Population on Wednesday evening that the onset of symptoms on the Child Abdullah Naji Umran was entered Tuesday on the impact of Alexandria, a hospital admitted suffering from high fever and cough after being exposed to birds suspected of being infected with bird flu, adding that once the suspicion of being infected with the disease were given the drug Tamiflu, and a description of his sick Palmstqrp.

وعلى جانب أخر، نجح فريق من العلماء المصريين فى التوصل إلى لقاح للوقاية من مرض أنفلونزا الطيور بهدف وقف الاستيراد من الخارج وقد نال العلماء براءة الاختراع ويجرى تصنيعه محلياً.

On the other hand, managed a team of Egyptian scientists in a vaccine for the prevention of bird flu in order to stop imports from abroad, scientists have won the patent and is manufactured locally.

وأشار الدكتور هاني الناظر رئيس المركز القومي المصري للبحوث، إلى أن اللقاح كان يتم استيراده من الخارج بتكلفة كبيرة وهذا ما دفع علماء المركز إلى السعي لإيجاد بديل محلى الصنع وبنفس الجودة.

And Dr. Hani Al-Nazer, head of the Egyptian National Center for Research, the vaccine was being imported from abroad at great cost and that is what led scholars to place the search for a local alternative, the same manufacturing and quality.

وأوضح الناظر أن هناك مشكلات تواجه البحث العلمي فى مصر فى مقدمتها الميزانية المخصصة له حيث تبلغ واحد فى المائة، مشيراً إلى أن هناك علماء مصريين متميزين فى العديد من المجالات.

Nazer said that the problems facing the scientific research in Egypt in the forefront of the budget allocated to it with a one per cent, adding that there were distinct Egyptian scientists in many fields.

ويعد الأطفال والنساء أكثر الفئات تعرضا للإصابة بالمرض ،ويرجع تزايد عدد المصابين بمرض أنفلونزا الطيور فى مصر إلى وقوعها على طريق الطيور المهاجرة وانتشار تربية الدواجن فى المنازل، وهو ما يفسر أن أكثر الذين لقوا حتفهم جراء المرض من النساء والأطفال.

The children and women are more vulnerable to the disease, (not true - Fla1) because of the increasing number of people infected with bird flu in Egypt to occur on the path of migratory birds and the spread in poultry houses, which explains that the most of those who died from the disease of women and children.

ويخشى الخبراء من تحور الفيروس ليصبح قادرا على الانتقال بسهولة بين البشر، مما يهدد بوباء قد يودي بحياة الملايين في أنحاء متفرقة من العالم.

Experts fear the virus will mutate to become easily transmissible between humans, threatening pandemic that could kill millions of people in different parts of the world.

المصدر: وكالة انباء الشرق الاوسط

Source: Middle East News Agency

http://www.masrawy.com/news/egypt/default.aspx