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

[Giuseppe]

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

[WARNING: Google Raw Machine Translation from Arabic to English. Readers can found original article at this link http://www.kuna.net.kw/NewsAgenciesP...85&Language=ar - EDITED.]

A .. The emergence of human infection with bird flu, 61 of the Egyptian child

Health 01/04/2009 09:14:00 PM

Cairo - 1 4 (KUNA) -

Egyptian health authorities announced in the emergence of case No. 61 of human infection with bird flu, the child reaches the age of two from one of the villages of Lake County north of Egypt.

A spokesman of the Ministry of Health, Dr. Abdel Rahman Shahin said in a statement here today that the onset of symptoms the child was sick at his place of his injury, the lake was discovered during a visit to the house of her mother in one of the villages of Al-Menoufiya.

He said he has been the introduction of child fever hospital last Monday suffering from a fever and cough after being exposed to birds suspected of having bird flu virus.

He pointed out that once the suspicion of the disease in the child was given the drug Tamiflu, adding that the condition is stable and is being transformed into a hospital, the Tamiflu drug.

The health authorities have warned citizens and authorities concerned of inaction in the face of the bird flu epidemic.

Egypt has been an epidemic of bird flu in February 2006 died 22 cases of the total infected cases.

(End) a b n / b u t KUNA 012114 Apr 09 GMT
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ARABIC

متحدث .. ظهور الاصابة البشرية 61 بمرض انفلونزا الطيور لطفل مصري
الصحة 01/04/2009 09:14:00 م

القاهرة - 1 4 (كونا) - أعلنت السلطات الصحية المصرية عن ظهور الحالة رقم 61 من الاصابة البشرية بأنفلونزا الطيور لطفل يبلغ من العمر سنتين من احدى قرى محافظة البحيرة شمال مصر.
وقال المتحدث الرسمي باسم وزارة الصحة الدكتور عبدالرحمن شاهين في بيان صحافي هنا اليوم أن ظهور الأعراض المرضية على الطفل كانت أثناء تواجده بمحل اقامته بالبحيرة وتم اكتشاف الاصابة أثناء زيارة الأم لمنزل عائلتها باحدى قرى محافظة المنوفية.
واشار الى انه تم ادخال الطفل مستشفى الحميات الاثنين الماضي وهو يعاني من ارتفاع في درجة الحرارة وسعال عقب تعرضه لطيور نافقة يشتبه في اصابتها بمرض انفلونزا الطيور.
ولفت الى أنه فور الاشتباه في اصابة الطفل بالمرض تم اعطاؤه عقار التاميفلو مشيرا الى ان حالته المرضية مستقرة وجاري تحويله الى مستشفى منشية البكرى.
وكانت السلطات الصحية قد حذرت المواطنين والاجهزة المعنية من التراخى في مواجهة وباء انفلونزا الطيور.
يذكر ان مصر تعرضت لوباء انفلونزا الطيور في فبراير من عام 2006 وقد توفى 22 حالة من مجموع الحالات المصابة. (النهاية) ب ن أ / ب ش ر كونا012114 جمت ابر 09
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[Laidback Al]

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

Based on post # 150 above, the latest confirmed case from Egypt may be from Qaryat Salah ad Din (30.5931, 30.7194) in the southern part of Beheira Governorate. Qaryat Salah ad Din is near the boundary between the governorates of Beheira and Al Minufiyah.

[Sally Furniss]

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

Arabic version of the reuters story comes with this picture

Egyptian woman feeding pigeons in the rain in Cairo on 26 March

[IMG]file:///tmp/moz-screenshot-8.jpg[/IMG]

سيدة مصرية يطعم حمامة في سوق المطرية بالقاهرة يوم 26 مارس اذار. تصوير: عمرو


AIRO (Reuters) - According to MENA news agency on Wednesday that the children in the two-year-old was the bird flu virus to become the No. 61 confirmed cases of illness in the country.

Egypt witnessed an increase in the number of cases of the disease over the last month, recorded six cases of human infection. And Egypt were the most affected countries the disease outside of Asia.

The news agency quoted the Middle East, Abdel-Rahman Shahin, spokesman for the Ministry of Health as saying that the boy who belongs to the lake in the northern province of Egypt is believed to be infected (H 5 to 1) after having been directly exposed to poultry infected with the disease.

The boy admitted to hospital on Monday after suffering a high fever while visiting relatives. And is undergoing treatment with Tamiflu.

Egypt is one of the few countries where the disease does not compensate farmers for culled poultry, despite the fact that many experts say that the best way to ensure the rapid monitoring of the emergence of the disease.

Since the 2003 virus has infected at least 410 people in 15 countries and has killed 254 of them. The disease has led to the slaughter of more than 300 million birds in 61 countries in Asia and the Middle East, Africa and Europe.

He died about 23 Egyptians have died of the virus. And adopt about five million families on the poultry in the backyard, as a major source of food and income.

Rarely affects virus (H 5 to 1) in humans but experts fear it could mutate into a form that can be transmitted easily between humans, leading to the deaths of millions.

http://www.masrawy.com/News/MidEast/Reuters/2009/April/1/755550.aspx?ref=rss

[HenryN]

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

Commentary

http://www.recombinomics.com/News/04020901/H5N1_Egypt_False.html rel="nofollow"

[AlaskaDenise]

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

Commentary

http://www.recombinomics.com/News/04...rel="nofollow"

Commentary

H5N1 False Negatives in Egypt Raise Serious Concerns

Recombinomics Commentary 20:31
April 2, 2009

He explained that the process of epidemiological monitoring of infection of human disease since the introduction of the disease in Egypt was the most prominent results of isolation of the case until 6337 yesterday on suspicion of being infected with the disease, pointing out that all were negative, and the Cairo governorate came in first place in terms of the number of suspected cases stood at 843, where the situation.

The above translation describes the hospitalized suspect H5N1 patients that tested negative in Egypt. Since the number of confirmed cases is 61, over 99% of suspect hospitalized patients test negative. Although these negatives may simply signal active testing, the recent concentration of confirmed cases in toddlers raises concerns that the number of true infections in Egypt is orders or magnitude higher than confirmed cases, and the absence of recent confirmed older cases is linked to immunity due to prior exposures to H5N1.

Although no H5N1 sequences have been released from human cases this season, prior sequences are available for almost all prior confirmed cases. In other countries, such as Indonesia, the vast majority of H5N1 isolates are from fatal cases. Although recovered cases are rare in Indonesia, the number of isolates from survivors is zero, or very close to zero. In contrast, most of the confirmed cases in Egypt are not fatal. In the spring of 2007, 16/17 patients survived, but isolates were obtained from all cases.

This high isolation rate raises concerns that only patients with high viral loads test PCR positive, which leads to an isolation rate approaching 100% regardless of outcome. Those patients with lower viral loads test negative and therefore virus isolation is not attempted.

Data supporting the lack of sensitivity in the PCR detection is the Gharbiya cluster, All three cases were fatal, but only two of the three members were PCR positive. The two that were positive were positive twice, once on samples collected prior to the start of Tamiflu treatment, and again in samples collected 48 hours after the start of Tamiflu treatment. The failure to register a PCR positive for the third fatal infections, suggest false negative rates in milder cases may be significant.

In the past, H5N1 positives were concentrated in young women and girls, which was attributed to poultry contact, which was largely limited to females in Egypt. However, many of the cases in the summer of 2007 were children, and most of those cases were mild.

Thus, prior to this year two major groups were represented in H5N1 outbreaks. Mild cases with lower viral loads may have tested negative, but may have generated protective immunity.

Therefore, the current spate of cases is limited to toddlers, who have not been previously exposed to H5N1.

Agressive antibody testing of prior at risk populations would be useful.

.

[Sally Furniss]

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

Date: Thursday, April 2 2009 1:42:04 am


Alepeshaer - Rndarushdy:

Ministry of Health announced the discovery of 61 infected humans from bird flu of a child named "Mohamed El-Shahat, Mohamed Hassan Amer", a two-year-old from the village of Salah al-Din, Department of liberalization in Beheira.

The program of life today that the World Health Organization's report refers to a health disaster in Egypt, where the report confirmed bird flu pandemic is endemic in Egypt, which means the continuation of the increasing incidence and mortality in all seasons of the year will not be confined only in winter, as well as the seriousness of the disease mutate at any time

http://elbashayeronline.com/?page=viewn&nid=45135

بتاريخ : الخميس 2 ابريل 2009 1:42:04 ص
عدد القراء : 15

البشاير-رندارشدى:
أعلنت وزارة الصحة عن اكتشاف الإصابة البشرية رقم 61 بمرض أنفلونزا الطيور لطفل يدعى "محمد الشحات محمد حسن عامر"، ويبلغ من العمر سنتين من قرية صلاح الدين، بمديرية التحرير بمحافظة البحيرة.
وأشار برنامج الحياة اليوم الى أن تقرير منظمة الصحة العالمية يشير الى كارثة صحية في مصر حيث أكد التقرير تحول أنفلونزا الطيور لوباء متوطن في مصر مما يعني استمرار تزايد معدلات الإصابة والوفيات في جميع فصول السنة ولن ينحصر في فصل الشتاء فقط وكذلك خطورة تحور المرض في أي وقت

[Sally Furniss]

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

Health »HIV declares 61 b« avian flu ».. And the isolation since 6337 on suspicion of his

Wrote Secretary Tariq Sheikh Omar Abdel-Hakim and Muhammad Hamdi gondi 2-4 / 2009


Mountain


The Ministry of Health, yesterday, the incidence of human disease No. 61 «avian flu» of a child named Mohamed El-Shahat Mohamed «two» from the lake, the ministry also confirmed that it fired more than 6337 citizen on suspicion of contracting the disease, since it appeared in Egypt,

She drew the ministry to the World Health Organization warned the danger of turning into an epidemic disease is endemic in Egypt. He said the report, prepared by the Department of Communicable Disease Control Ministry, a rise in human cases, which was isolated in all the hospitals to more than 2337, compared to the same period last year.

A d. Abdel Rahman Shahin, spokesman for the ministry, the total number of human cases, which was hit by the disease since February 2006 and even today, there were 60 human cases, 23 cases died, including 35 cases have been recovered and there are two cases in hospital receiving treatment,

He pointed out that the provinces were more positive cases, b is the province of Menoufiya 7 cases followed each of the Fayoum and Qena b 6 cases and 5 cases of each of Minya Qalubia and western provinces and 3 cases of Cairo, Aswan and Dakahlia, Kafr El-Sheikh and two each of the governorates of Beni Suef, Assiut, Sohag, Damietta and East and the case and one each from Alexandria, Suez and the lake, and October 6, The Giza, Luxor, Ismailia, Port Said, Matrouh, New Valley and the Red Sea and the North and South Sinai and the payment to be free of any injuries positive disease,

He pointed out that the «recovery rate in Egypt, the greatest evidence of our success in the face of the disease», and added that the ministry has prepared a comprehensive national plan to confront any mutation in the virus and spread among humans,

Was also a kind of simulation of this plan and prepare for that scenario, he said, pointing out that the factor «Nmro 3» involved in the examination of some of the samples for the cases of infected or suspected of being infected, as well as to move the team to a central laboratory equipment to monitor the situation the region, which was hit by the virus.

In a related development, held yesterday in the hospital diets 4 provinces, namely West Qalubia and Beni Suef, the New Valley, 12 people suspected of contracting the disease and the emergence of symptoms of infection to them.

http://www.almasry-alyoum.com/article2.aspx?ArticleID=205319

الصحة» تعلن الإصابة ٦١ بـ«أنفلونزا الطيور».. وعزل ٦٣٣٧ للاشتباه منذ ظهوره

كتب طارق أمين ـ عمر الشيخ وعبدالحكم الجندى ومحمد حمدى ٢/ ٤/ ٢٠٠٩


الجبلى


أعلنت وزارة الصحة، أمس، الإصابة البشرية رقم ٦١ بمرض «أنفلونزا الطيور» لطفل يدعى محمد الشحات محمد «سنتان» من البحيرة كما أكدت الوزارة أنها عزلت أكثر من ٦٣٣٧ مواطناً للاشتباه فى إصابتهم بالمرض، منذ ظهوره فى مصر،

ولفتت الوزارة إلى تحذيرات منظمة الصحة العالمية بخطر تحول المرض إلى وباء متوطن فى مصر. كما كشف التقرير، الذى أعدته إدارة مكافحة الأمراض المعدية بالوزارة، عن ارتفاع الحالات البشرية التى تم عزلها فى جميع المستشفيات إلى أكثر من ٢٣٣٧، مقارنة بالفترة نفسها من العام الماضى.

وقال د. عبدالرحمن شاهين، المتحدث الرسمى باسم الوزارة، إن إجمالى عدد الحالات البشرية، التى أصيبت بالمرض منذ فبراير ٢٠٠٦ وحتى اليوم، بلغ ٦٠ حالة بشرية، توفى منها ٢٣ حالة وتم شفاء ٣٥ حالة وتوجد حالتان بالمستشفى تتلقيان العلاج،

مشيراً إلى أن أكثر المحافظات جاءت بها حالات إيجابية هى محافظة المنوفية بـ ٧ حالات تلتها كل من الفيوم وقنا بـ ٦ حالات و٥ حالات بكل من المنيا والقليوبية والغربية و٣ حالات بمحافظات القاهرة وأسوان والدقهلية وكفر الشيخ وحالتين بكل من محافظات بنى سويف وأسيوط وسوهاج ودمياط والشرقية وحالة إصابة واحدة بكل من الإسكندرية والسويس والبحيرة و٦ أكتوبر، وجاءت الجيزة والأقصر والإسماعيلية وبورسعيد ومطروح والوادى الجديد والبحر الأحمر وشمال وجنوب سيناء وحلوان لتكون خالية من أى إصابات إيجابية بالمرض،

لافتاً إلى أن «نسبة الشفاء فى مصر أكبر دليل على نجاحنا فى مواجهة المرض»، وأضاف أن الوزارة أعدت خطة قومية متكاملة لمواجهة أى تحور فى الفيروس وانتشاره بين البشر،

كما تم إجراء نوع من المحاكاة لهذه الخطة وإعداد السيناريو الخاص بذلك، لافتاً إلى أن معامل «نمرو ٣» تشترك فى فحص بعض العينات الخاصة بالحالات المصابة أو المشتبه فى إصابتها، بالإضافة إلى تحريك فريق مركزى بالأجهزة المعملية لمتابعة الموقف بالمنطقة التى ظهر بها الفيروس.

فى سياق متصل، احتجزت مستشفيات الحميات أمس فى ٤ محافظات، هى الغربية والقليوبية وبنى سويف والوادى الجديد، ١٢ شخصاً للاشتباه فى إصابتهم بالمرض وظهور أعراض الإصابة عليهم.

[HenryN]

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

H5N1 detected in birds almost daily in 2009

• RECENT CASES:
• Date of sampling: 18 March 2009
• Date of result: 19 March 2009
• Governorate: Gharbiya
• District: Tanta
• Village: Sanadid
• Type of rearing: Backyard
• Species: Mixed
• Number of birds: 53
• Vaccine status: Not available
• Purpose of sampling: Notified case
• --------------------------------------------------
• Date of sampling: 18 March 2009
• Date of result: 19 March 2009
• Governorate: Beheira
• District: Hosh Eisa
• Village: Al Kordor-Al Maghazi
• Type of rearing: Backyard
• Species: Mixed
• Number of birds: Not available
• Vaccine status: Not available
• Purpose of sampling: Active surveillance: Participatory Disease Surveillance (PDS) visit
• --------------------------------------------------
• Date of sampling: 17 March 2009
• Date of result: 18 March 2009
• Governorate: Gharbiya
• District: Kotor
• Village: Sagein al Kom
• Type of rearing: Backyard
• Species: Mixed
• Number of birds: 42
• Vaccine status: Not available
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of sampling: 16 March 2009
• Date of result: 18 March 2009
• Governorate: Beheira
• District: Kafr el Dawar
• Village: Manshiya Amer Barawla
• Type of rearing: Backyard
• Species: Mixed
• Number of birds: 38
• Vaccine status: Not available
• Purpose of sampling: Active surveillance: Participatory Disease Surveillance (PDS) visit
• ---------------------------------------------------
• Date of sampling: 13 March 2009
• Date of result: 13 March 2009
• Governorate: Beheira
• District: Kafr el Dawar
• Village: Al Akreisha
• Type of rearing: Backyard
• Species: Mixed
• Number of birds: 12
• Vaccine status: Vaccinated 8 December 2008
• Purpose of sampling: Active surveillance: Participatory Disease Surveillance (PDS) visit
• ---------------------------------------------------
• Date of sampling: 12 March 2009
• Date of result: 13 March 2009
• Governorate: Qalyoubiya*
• District: Not available
• Village: Not available
• Type of rearing: Not indicated
• *A truck from Sharkiya Governorate carrying 520 layer hens was stopped by authorities in Qalyoubiya Governorate
• Species: Chicken
• Number of birds: 520
• Vaccine status: Unknown
• Purpose of sampling: Passive surveillance
• ---------------------------------------------------
• Date of sampling: 11 March 2009
• Date of result: 13 March 2009
• Governorate: Sharkiya
• District: El Kenayat
• Village: Ezbet Abu Hasouna
• Type of rearing: Backyard
• Species: Mixed
• Number of birds: Not available
• Vaccine status: Unknown
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of sampling: 11 March 2009
• Date of result: 13 March 2009
• Governorate: Sixth of October
• District: Kerdasa
• Village: Kerdasa
• Type of rearing: Backyard
• Species: Unknown
• Number of birds: Not available
• Vaccine status: Not vaccinated
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of sampling: 11 March 2009
• Date of result: 12 March 2009
• Governorate: Gharbiya
• District: Tanta
• Village: Ezbet Shaban, Berma village
• Type of rearing: Backyard
• Species: Chicken
• Number of birds: 8
• Vaccine status: Unavailable
• Purpose of sampling: Active surveillance: Participatory Disease Surveillance (PDS) visit
• ---------------------------------------------------
• Date of sampling: 11 March 2009
• Date of result: 11 March 2009
• Governorate: Assiut
• District: Assiut
• Village: Al Walideia
• Type of rearing: Backyard
• Species: Mixed
• Number of birds: 45
• Vaccine status: Vaccinated
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of sampling: 10 March 2009
• Date of result: 11 March 2009
• Governorate: Minya
• District: Samalout
• Village: Gaber al Ghaber al Keblia
• Type of rearing: Backyard
• Species: Mixed
• Number of birds: 8
• Vaccine status: Vaccinated against H5N2 on 25 December 2008
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of sampling: 8 March 2009
• Date of result: 9 March 2009
• Governorate: Alexandria
• District: Al King / Al Ameria
• Village: Abo el Reish
• Type of rearing: Backyard
• Species: Chicken, duck
• Number of birds: 50 total
• Vaccine status: Unavailable
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of sampling: 6 March 2009
• Date of result: 7 March 2009
• Governorate: Beheira
• District: Kafr el Dawar
• Village: Owan
• Type of rearing: Backyard
• Species: Chicken
• Number of birds: 20
• Vaccine status: Unavailable
• Purpose of sampling: Active surveillance: Participatory Disease Surveillance (PDS) visit
• ---------------------------------------------------
• Date of report: 2 March 2009
• Date of result: 3 March 2009
• Governorate: Suez
• District: Al Ganain
• Village: Abo Saial
• Type of rearing: Backyard
• Species: Chicken
• Number of birds: 15
• Vaccine status: Unvaccinated
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 1 March 2009
• Date of result: 2 March 2009
• Governorate: Beheira
• District: Hosh Eisa
• Village: Seriut
• Type of rearing: Backyard
• Species: Chicken
• Number of birds: 2
• Vaccine status: Unvaccinated
• Purpose of sampling: Active surveillance: Participatory Disease Surveillance (PDS) visit
• ---------------------------------------------------
• Date of report: 1 March 2009
• Date of result: 2 March 2009
• Governorate: Beheira
• District: Kafr el Dawar
• Village: Al Malaka
• Type of rearing: Backyard
• <table border="0" width="310"> <tbody><tr> <td class="textcontainers" width="72">Type of birds </td> <td class="textcontainers" width="44">
  chickens
  </td> <td class="textcontainers" width="39">
  ducks
  </td> <td class="textcontainers" width="42">
  geese
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  22
  </td> <td class="textcontainers">
  45
  </td> <td class="textcontainers">
  10
  </td> </tr> </tbody></table>
• Vaccine status: Unvaccinated
• Purpose of sampling: Active surveillance: Participatory Disease Surveillance (PDS) visit
• ---------------------------------------------------
• Date of report: 28 February 2009
• Date of result: 1 March 2009
• Governorate: Aswan
• District: Edfo
• Village: Wadi el Saida
• Type of rearing: Backyard
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  ducks
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  16
  </td> <td class="textcontainers">
  6
  </td> </tr> </tbody></table>
• Vaccine status: Unvaccinated
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 27 February 2009
• Date of result: 28 February 2009
• Governorate: Aswan
• District: Al Sebaeia
• Village: Hager al Sebaeia Gharb
• Type of rearing: Backyard
• Species: Chicken
• Number of birds: 4
• Vaccine status: Unvaccinated
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 27 February 2009
• Date of result: 28 February 2009
• Governorate: Aswan
• District: Edfo
• Village: Al Behira
• Type of rearing: Backyard
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  geese
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  5
  </td> <td class="textcontainers">
  1
  </td> </tr> </tbody></table>
• Vaccine status: Unvaccinated
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 19 February 2009
• Governorate: 6th of October
• District: Oseim
• Village: Bashteil
• Type of rearing: Backyard
• <table border="0" width="310"> <tbody><tr> <td class="textcontainers" width="72">Type of birds </td> <td class="textcontainers" width="44">
  chickens
  </td> <td class="textcontainers" width="39">
  ducks
  </td> <td class="textcontainers" width="42">
  geese
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  10
  </td> <td class="textcontainers">
  3
  </td> <td class="textcontainers">
  3
  </td> </tr> </tbody></table>
• Vaccine status: Unvaccinated
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 19 February 2009
• Governorate: Gharbiya
• District: Samanoud
• Village: Meit Habib
• Type of rearing: Backyard
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  ducks
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  6
  </td> <td class="textcontainers">
  4
  </td> </tr> </tbody></table>
• Vaccine status: Unavailable
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 12 February 2009
• Governorate: Fayoum
• District: Fayoum
• City: Fayoum
• Type of rearing: Backyard
• <table border="0" width="310"> <tbody><tr> <td class="textcontainers" width="72">Type of birds </td> <td class="textcontainers" width="44">
  chickens
  </td> <td class="textcontainers" width="39">
  ducks
  </td> <td class="textcontainers" width="42">
  geese
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  unavailable
  </td> <td class="textcontainers">
  unavailable
  </td> <td class="textcontainers">
  unavailable
  </td> </tr> </tbody></table>
• Vaccine status: Vaccinated 10 August 2008
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 11 February 2009
• Governorate: Giza
• District: Giza
• City: Giza
• Type of rearing: Backyard
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  ducks
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  4
  </td> <td class="textcontainers">
  3
  </td> </tr> </tbody></table>
• Vaccine status: Unavailable
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 11 February 2009
• Governorate: Sixth of October
• District: Oseim
• Village: El Keirateiin
• Type of rearing: Backyard
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  ducks
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  unavailable
  </td> <td class="textcontainers">
  unavailable
  </td> </tr> </tbody></table>
• Vaccine status: Unavailable
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 11 February 2009
• Governorate: Beheira
• District: Hosh Eisa
• City: Abu Maloot
• Type of rearing: Backyard
• <table border="0" width="310"> <tbody><tr> <td class="textcontainers" width="72">Type of birds </td> <td class="textcontainers" width="44">
  chickens
  </td> <td class="textcontainers" width="39">
  ducks
  </td> <td class="textcontainers" width="42">
  geese
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  unavailable
  </td> <td class="textcontainers">
  unavailable
  </td> <td class="textcontainers">
  unavailable
  </td> </tr> </tbody></table>
• Vaccine status: Unavailable
• Purpose of sampling: Active surveillance: Participatory Disease Surveillance (PDS) visit
• ---------------------------------------------------
• Date of report: 10 February 2009
• Governorate: Gharbiya
• District: Tanta
• City: Hesit Shabsheir
• Type of rearing: Backyard
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  ducks
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  74
  </td> <td class="textcontainers">
  12
  </td> </tr> </tbody></table>
• Vaccine status: Unavailable
• Purpose of sampling: Active surveillance: Participatory Disease Surveillance (PDS) visit
• ---------------------------------------------------
• Date of report: 9 February 2009
• Governorate: Assiut
• District: Assiut
• City: Assiut
• Type of rearing: Backyard
• Species: Chicken
• Number of birds: 2
• Vaccine status: Unavailable
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 9 February 2009
• Governorate: Menoufiya
• District: Menof
• Village: Kamshosh
• Type of rearing: Backyard
• <table border="0" width="310"> <tbody><tr> <td class="textcontainers" width="72">Type of birds </td> <td class="textcontainers" width="44">
  chickens
  </td> <td class="textcontainers" width="39">
  ducks
  </td> <td class="textcontainers" width="42">
  geese
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  22
  </td> <td class="textcontainers">
  20
  </td> <td class="textcontainers">
  15
  </td> </tr> </tbody></table>
• Vaccine status: Vaccinated for H5N1, 20 December 2008
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 9 February 2009
• Governorate: Helwan
• District: Atfih
• Village: El Khalf El Sharki
• Type of rearing: Backyard
• Species: Unavailable
• Number of birds: Unavailable
• Vaccine status: Unavailable
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 5 February 2009
• Governorate: Sharkiya
• District: Belbeis
• City: Al Asher (Ramsis Road)
• Large number of birds found dead at Al Asher, Ramsis Road. Samples were collected from the dead birds and sent to the lab.
• Type of rearing: Unknown
• Species: Unavailable
• Number of birds: Unavailable
• Vaccine status: Unknown
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 5 February 2009
• Governorate: Beheira
• District: Damanhour
• Village: Nediba
• Type of rearing: Backyard
• Species: chicken, duck, turkey
• Number of birds: Unavailable
• Vaccine status: Unavailable
• Purpose of sampling: Active surveillance: Participatory Disease Surveillance (PDS) visit
• ---------------------------------------------------
• Date of report: 5 February 2009
• Date of result: 6 February 2009
• Governorate: Helwan
• District: Helwan
• City: none reported
• Type of rearing: Backyards
• Species: Chicken
• Number of birds: 2
• Vaccine status: Unknown
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 5 February 2009
• Governorate: Helwan
• District: Helwan
• City: El Hoda City
• Type of rearing: Backyard
• Species: chicken
• Number of birds: 40
• Vaccine status: Unavailable
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 5 February 2009
• Governorate: Beheira
• District: Kafr el Dawar
• Village: Abo el Hoda
• Type of rearing: Backyard
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  ducks
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  8
  </td> <td class="textcontainers">
  4
  </td> </tr> </tbody></table>
• Vaccine status: Unavailable
• Purpose of sampling: Active surveillance: Participatory Disease Surveillance (PDS) visit
• ---------------------------------------------------
• Date of report: 5 February 2009
• Governorate: Fayoum
• District: Itsa
• Village: Albrens
• Type of rearing: Backyard
• <table border="0" width="310"> <tbody><tr> <td class="textcontainers" width="72">Type of birds </td> <td class="textcontainers" width="44">
  chickens
  </td> <td class="textcontainers" width="39">
  ducks
  </td> <td class="textcontainers" width="42">
  geese
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  21
  </td> <td class="textcontainers">
  35
  </td> <td class="textcontainers">
  unavailable
  </td> </tr> </tbody></table>
• Vaccine status: Unavailable
• Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 4 February 2009
  Date of result: 4 February 2009
  Governorate: Suez
  District: Al Ganain
  Village: Akilabat
  Type of unit: Backyard
  <table border="0" width="310"> <tbody><tr> <td class="textcontainers" width="72">Type of birds </td> <td class="textcontainers" width="44">
  chickens
  </td> <td class="textcontainers" width="39">
  ducks
  </td> <td class="textcontainers" width="42">
  geese
  </td> <td class="textcontainers" width="42">
  turkey
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  30
  </td> <td class="textcontainers">
  25
  </td> <td class="textcontainers">
  3
  </td> <td class="textcontainers">
  5
  </td> </tr> </tbody></table> Vaccine status: Vaccinated against H5N1 on 25 January 2009
  Purpose of sampling: Notified case
• ---------------------------------------------------
• Date of report: 3 February 2009
  Governorate: Sharkiya
  District: El Kenayat
  Village: -
  Type of unit: Backyard
  <table border="0" width="310"> <tbody><tr> <td class="textcontainers" width="72">Type of birds </td> <td class="textcontainers" width="44">
  chickens
  </td> <td class="textcontainers" width="39">
  ducks
  </td> <td class="textcontainers" width="42">
  geese
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  150
  </td> <td class="textcontainers">
  15
  </td> <td class="textcontainers">
  12
  </td> </tr> </tbody></table> Vaccine status: Information not available
  Purpose of sampling: Active surveillance (PDS team from the veterinary authority visited the village searching for the disease without official notification.)
• ---------------------------------------------------
• Date of report: 27 January 2009
  Governorate: Menoufiya
  District: Shebin Elkom
  Village: -
  Type of unit: Backyard
  Type of bird: Duck
  Number of birds: 6
  Vaccine status: Not vaccinated
  Purpose of sampling: Notified case (Passive surveillance). Follow-up on human case. See related report.
• ---------------------------------------------------
• Date of report: 26 January 2009
  Governorate: Alexandria
  District: Khorshid
  <!-- Village: -
  --> Type of rearing: Backyard
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  ducks
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  100
  </td> <td class="textcontainers">
  10
  </td> </tr> </tbody></table> Vaccine status: Not available
  Purpose of sampling: Notified case (Passive surveillance)
• ---------------------------------------------------
• Date of report: 26 January 2009
• Governorate: Alexandria
  District: El Mamoura
  Village: Ezbet Hod 10
  Type of rearing: Backyard
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  ducks
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  10
  </td> <td class="textcontainers">
  5
  </td> </tr> </tbody></table> Vaccine status: Not available
  Purpose of sampling: Notified case (passive surveillance)
• ---------------------------------------------------
• Date of report: 22 January 2009
  Governorate: Assiut
  District: Assiut
  Village: Reva
  Type of rearing: Backyard
• <table border="0" width="310"> <tbody><tr> <td class="textcontainers" width="72">Type of birds </td> <td class="textcontainers" width="44">
  chickens
  </td> <td class="textcontainers" width="39">
  ducks
  </td> <td class="textcontainers" width="42">
  geese
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  45
  </td> <td class="textcontainers">
  6
  </td> <td class="textcontainers">
  2
  </td> </tr> </tbody></table> Vaccine status: Information not available
  Purpose of sampling: Notified case (passive surveillance)
• ---------------------------------------------------
• Date of report: 22 January 2009
  Governorate: Fayoum
  District: Fayoum
  Village: Seila Ezbet Edris
  Type of rearing: Backyard
• <table border="0" width="377"> <tbody><tr> <td class="textcontainers" width="91">Type of birds </td> <td class="textcontainers" width="81">
  chickens
  </td> <td class="textcontainers" width="97">
  ducks
  </td> <td class="textcontainers" width="90">
  geese
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  8
  </td> <td class="textcontainers">
  3
  </td> <td class="textcontainers">
  4
  </td> </tr> <tr> <td class="textcontainers">Vaccinated</td> <td class="textcontainers">
  June 5, 2008
  </td> <td class="textcontainers">
  Nov. 19, 2008
  </td> <td class="textcontainers">
  Dec. 16, 2008
  </td> </tr> </tbody></table> Purpose of sampling: Notified case (passive surveillance)
• ---------------------------------------------------
• Date of report: 13 January 2009
  Governorate: Sixth of October
  District: Kerdasa
  <!-- Village: Kafr Abu Hegazi
  --> Village: Kafr Abu Hegazi
• Type of rearing: Backyard, 2 houses
  First house:
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  ducks
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  0
  </td> <td class="textcontainers">
  (frozen) not. avail.
  </td> </tr> </tbody></table> Vaccine status: Not vaccinated
  Second house:
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  ducks
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  2 live, 2 dead
  </td> <td class="textcontainers">
  5 live, 1 dead
  </td> </tr> </tbody></table> Vaccine status: Not vaccinated
  Purpose of sampling: Notified case (passive surveillance). Follow-up on human case. See related report.
• ---------------------------------------------------
• Date of report: 9 January 2009
  Governorate: Menoufiya
  District: Ashmoun
  Village: Lengib
  Type of rearing: Backyard
• <table border="0" width="237"> <tbody><tr> <td class="textcontainers" width="102">Type of birds </td> <td class="textcontainers" width="73">
  chickens
  </td> <td class="textcontainers" width="48">
  ducks
  </td> </tr> <tr> <td class="textcontainers">Number of birds </td> <td class="textcontainers">
  25
  </td> <td class="textcontainers">
  9
  </td> </tr> </tbody></table> Vaccine status: Vaccinated July 29, 2008
  Purpose of sampling: Notified case (passive surveillance)
• ---------------------------------------------------
• Date of report: 8 January 2009
• Governorate: Sharkiya
• District: Mashtol al Sook
• City: Mashtol al Sook
• Type of rearing: Farm
• Species: Turkey
• Number of birds: 1,600
• Two trucks were carrying the birds from a farm
• Vaccine status: Vaccinated for H5N2 on 16 October 2008.
• Purpose of sampling: Notified case

[HenryN]

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

<table align="center" border="0" cellpadding="0" cellspacing="0" width="100%"><tbody><tr><td class="topcell" bgcolor="#ffffff" valign="top" width="100%">New bird flu case a reminder pandemic still a threat

</td> <td class="toprightcell" valign="top" nowrap="nowrap">PRINT FRIENDLY</td> <td class="toprightcell" valign="top" nowrap="nowrap">EMAIL STORY</td> </tr> <tr><td colspan="3" class="storycell" bgcolor="#ffffff"> <!-- PRINT_CONTENT_START --> PM - Thursday, 2 April , 2009 18:38:00

Reporter: David Mark

MARK COLVIN: A two-year-old Egyptian boy has caught the virulent H5N1 bird flu virus. He's the tenth person to contract the disease in Egypt this year.

Researchers have described the spate of new outbreaks in Egypt and in China as worrying. The number of cases appeared to have peaked three years ago but these outbreaks seem to buck that trend.

David Mark reports.

DAVID MARK: Egypt is the new ground zero for bird flu. The two-year-old boy is the sixth Egyptian to get the disease in the past month.

Professor Anne Kelso is the director of the WHO collaborating centre for Influenza in Melbourne.

ANNE KELSO: The WHO is reporting cases and deaths at the moment in China, Egypt and Vietnam. I think particularly worrying are the number of cases in China, which are scattered throughout different provinces.

DAVID MARK: The avian influenza of H5N1 virus first jumped from birds to humans in 2003. The number of cases grew steadily. In 2006 115 people in nine countries caught the disease; 79 of them died. Bird flu was a big story.

(Montage of archival stories)

REPORTER: China says it's made the first discovery of a deadly flu?

REPORTER 2: The extremely infectious avian influenza?

REPORTER 3: The World Health Organisation says international?

REPORTER 4: The Chinese Ministry of Agriculture last night confirmed that?

DAVID MARK: Since then the numbers of cases and deaths from bird flu has been steadily declining.

ANNE KELSO: It's interesting because the virus, or at least I should call it a family of viruses is still spreading very widely throughout the world and there are many poultry outbreaks still occurring in many countries of the world.

ALAN HAMPSON: Well, it certainly hasn't gone away and I think there's probably a degree of media fatigue about the whole thing.

DAVID MARK: Dr Alan Hampson is the chair of the Australian Influenza Specialist Group. As he explains, the danger with bird flu is that it could mutate.

If the virus could jump from human to human, the chances of a deadly pandemic increase greatly.

ALAN HAMPSON: I certainly wouldn't write this virus off. I think if it does acquire, if it can acquire that potential, then the longer that it's there the more human cases we see, then the chances are continuing to grow that it will actually adapt.

DAVID MARK: The good news is that it hasn't happened yet. While 256 six people have died from the disease, that number pales in comparison to a possible pandemic.

Tens of millions died in the 1918 Spanish flu outbreak.

Some people have suggested that the fact avian influenza hasn't mutated in the past six years, mean that it won't.

Dr Hampson and Professor Kelso disagree:

ALAN HAMPSON: There's no inherent reason in the virus that we've been able to date that would suggest that it can't adapt to humans.

ANNE KELSO: It hasn't yet undergone the mutation that would make it easily transmissible. Maybe there's some reason; maybe there's some property of the virus that means it's not particularly prone to undergoing those mutations, but I don't know of any scientific evidence for that.

And so we simply have to assume that there's still some possibility, even if it's small, that that virus could cause a pandemic.

DAVID MARK: The years without a pandemic have bought time. Professor Kelso says a huge amount of progress has been made into researching the H5N1 virus and possible vaccines.

ANNE KELSO: So that if one has a vaccine for one influenza virus the person who's vaccinated will have some degree of protection against quite different influenza viruses.

DAVID MARK: A key to the research is countries sharing information. But Professor Kelso is concerned that one country, Indonesia, isn't reporting cases.

Crucially, Indonesia is the country where the virus is mostly widely spread among flocks of poultry and where the human death toll far of 115 far exceeds any other country.

ANNE KELSO: Because they're not sharing viruses with WHO it's harder for the rest of the world to assist or to help to monitor how those viruses are changing. So, yes, we're concerned about Indonesia.

DAVID MARK: Avian influenza may no longer be a sexy story, but those working in the field argue governments around the world can't afford to assume the danger from this disease is over.

MARK COLVIN: David Mark.

http://www.abc.net.au/pm/content/2008/s2533551.htm

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

[HenryN]

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

Commentary

http://www.recombinomics.com/News/04020903/H5N1_Egypt_Toddler_Demo.html rel="nofollow"

[AlaskaDenise]

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

Commentary

http://www.recombinomics.com/News/04...rel="nofollow"

Commentary

H5N1 Toddler Demographic in Egypt Increases Concerns

Recombinomics Commentary 14:27
April 2, 2009

The most recent confirmed H5N1 case in Egypt was the ninth toddler this year, once again highlighting the changing demographic. H5N1 cases have been reported in Egypt since 2006 and early cases were largely females that were teenagers or young adults, due to their close contact with poultry.

However, this year there has only been one confirmed adult case (38F), who quickly recovered and was only symptomatic for four days. The other nine cases were toddlers between the ages of 1 &#189; and 2 &#189;, which has not been previously reported. In the 51 confirmed cases between 2006 and 2008, there were only 6 toddlers and the rate for each year was close to 10&#37;. In contrast, the toddler rate for 2009 has jumped to 90% and most of these cases have been mild and were widely distributed (see updated map).

This changing demographic is not due to a dramatic change in poultry cases. Although the reports to OIE have become less frequent because Egypt had declared endemic H5N1 which only requires reports every 6 months. However, local detailed reports of poultry H5N1 outbreaks indicate that new outbreaks are confirmed almost daily. These outbreaks are largely backyard flocks and include birds that have and have not been vaccinated. H5N1 deaths in small flocks may be discarded or eaten and not reported, so the exposure to H5N1 in birds is markedly higher than confirmed outbreaks.

However, in spite of this high exposure in 2009, there have been no confirmed teenagers or young adult H5N1 cases. Similarly, in the spring of 2007 there was a spike in cases, but most of those patients were children. Those cases were also mild, raising concerns that the number of H5N1 was markedly higher than reported, because most cases would present as seasonal flu. Similarly, H5N1 testing was largely limited to patients who had a history of contact with poultry, which would lead to silent human to human transmission of mild cases. In 2009, there also have been no confirmed cases in children. The oldest non-adult was 2 &#189;.

This new demographic, which largely limits confirmed cases to toddlers, raises concerns that prior outbreaks were linked to a significant exposure of these earlier populations to H5N1, leading to protective immunity which limited confirmed cases.

In contrast, the toddlers would not have had exposure to the earlier outbreaks and therefore would lack the protective immunity.

Further analysis of this new demographic would be useful. If the lack of confirmed cases in female teenagers or young adults is due to protective immunity, this group should have low levels of H5N1 antibodies.

A comprehensive screening of this demographic would be useful.

.

[HenryN]

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

Beheira toddler contracts bird flu

By AFP
First Published: April 2, 2009


<articlebody>CAIRO: A toddler has contracted bird flu, the 61th recorded case since the first outbreak of the disease in the country in 2006, state-news agency MENA reported on Wednesday.
The two-year-old was taken to hospital with a fever on Monday in Beheira governorate, health ministry spokesman Abdel Rahman Shahin said, quoted by MENA. He had been exposed to dead fowl thought to have been infected with the virus.
Twenty-three people have died of bird flu in Egypt. Most of the victims have been young girls or women, who are generally in charge of looking after poultry in rural areas.
The World Health Organization (WHO) called last month for an investigation into why many of the victims have been young children.
Egypt hosted an international conference on bird flu in October, when Washington pledged an additional $320 million to the fight against the disease amid fears it may yet escalate into a global pandemic.
The H5N1 strain of the virus that is most dangerous to humans first emerged in Asia in 2003 and has since caused nearly 250 deaths, according to WHO figures.
Scientists fear that a mutation of the bird flu virus resulting in a strain easily transmitted among humans could create a pandemic, potentially affecting up to one-fifth of the world's population. ?AFP


http://www.thedailynewsegypt.com/art...rticleID=20819

</articlebody>

[HenryN]

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

Beheira toddler contracts bird flu

By AFP
First Published: April 2, 2009


<articlebody>
Twenty-three people have died of bird flu in Egypt. Most of the victims have been young girls or women, who are generally in charge of looking after poultry in rural areas.
?AFP


http://www.thedailynewsegypt.com/art...rticleID=20819

</articlebody>

The above AFP background paragraph is in serious need of an update. In 2009 there have been ten confirmed cases and the number who died this year is ZERO. Moreover 9/10 are toddlers between the ages of 1 1/2 and 2 1/2.

[HenryN]

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

AVIAN INFLUENZA, HUMAN (66): EGYPT (BEHEIRA or AL BUHAYRAH)
************************************************** *********
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

[1]
Date: Wed 1 Apr 2009
Source: Reuters [edited]
<http://www.reuters.com/article/africaCrisis/idUSL116466>


Egyptian boy contracts bird flu virus
-------------------------------------
A 2-year-old Egyptian boy has contracted the highly pathogenic bird
flu virus, bringing to 61 the number of confirmed cases in the most
populous Arab country, state news agency MENA said on Wed 1 Apr 2009.
Egypt, hit harder by bird flu than any other country outside of Asia,
has seen an upswing in bird flu cases over the past month, with 6 new
human infections.

The boy, from the province of Beheira in northern Egypt, was believed
to have contracted the H5N1 [avian influenza] virus after coming into
contact with infected birds, MENA quoted health ministry spokesman
Abdel Rahman Shahine as saying. The boy was taken to hospital on
Monday [30 Mar 2009] after he came down with a high fever while
visiting extended family in another province. He was being treated
with the antiviral drug Tamiflu.

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.
Since 2003, the H5N1 avian influenza virus has infected at least 410
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, Africa and Europe. Some 23 Egyptians have died
after contracting the virus, most after coming into contact with
infected domestic birds in a country where roughly 5 million
households depend on domestically raised poultry as a main source of
food and income. 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.

[Byline: Cynthia Johnston]

******
[2]
Date: Wed 1 Apr 2009
Source: Egyptian Chronicles [edited]
<http://egyptianchronicles.blogspot.c...tion-case.html>


H5N1 Human Infection Case Number 61
-----------------------------------
The ministry of Health in Cairo has announced the H5N1 human
infection case number 61 in Egypt, a 2-year-old boy. The boy is from
Al-Bahaira in North Delta. He was infected through dead infected
domestic poultry. He was discovered when he became very sick during
visiting his grandparents in Monfia. He was given Tamiflu and
currently is stable.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[A map of the governorates of Egypt can be accessed at
<http://en.wikipedia.org/wiki/Governorates_of_Egypt>. Beheira is
located at 4 on the map. The HealthMap/ProMED-mail interactive map of
Egypt is available at <http://healthmap.org/r/007U>. - Mod.CP]

[see also:
Avian influenza, human (64): Egypt (QN), WHO 20090330.1220
Avian influenza, human (63): Egypt, 60th case 20090329.1211
Avian influenza, human (58): Egypt (AT), WHO 20090323.1142
Avian influenza, human (55): Egypt (AT), Viet Nam (DT) 20090320.1118
Avian influenza, human (52): Egypt (MF), WHO 20090311.1013
Avian influenza, human (51): Egypt (MF) susp 20090311.1007
Avian influenza, human (50): Egypt (AL), WHO 20090311.1004
Avian influenza, human (49): Egypt (Cairo) NOT 20090306.0932
Avian influenza, human (48): Egypt (Cairo), susp. 20090305.0901
Avian influenza, human (46): Indonesia, susp., Egypt, WHO conf. 20090303.0867
Avian influenza, human (44): Indonesia, Egypt susp. 20090301.0853
Avian influenza, human (33): Egypt (MN), WHO 20090210.0599
Avian influenza, human (31): Egypt (MN) 20090208.0575
Avian influenza, human (29): Egypt (SUZ) 20090205.0511
Avian influenza, human (23): Egypt, WHO 20090127.0366
Avian influenza, human (21): Egypt 20090125.0338
Avian influenza, human (07): Egypt (SO), WHO 20090114.0158]
..............................cp/ejp/mpp
</pre>

[Sally Furniss]

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

An ad hoc committee to examine the lake house of the injured child b ?avian flu? .. And the detention of 3 new cases of suspected

Day books and Abduljawad Shaima just 4-3 / 2009


Mountain


By a specialized committee of the Ministry of Health and Preventive Medicine and Veterinary Medicine to move to the child's home-Shahat, Mohamed Hassan Amer ?years?, which was No. 61 in the cases of bird flu in the province of the lake, immediately confirmed his illness, to examine the house and the houses nearby, Dr. Mohamed Farid , Director of Veterinary Medicine to maintain, the lack of birds at his home.

The Committee decided to execute all the birds in the houses surrounding the cemetery and buried the healthy, and clean up the entire region, are being vaccinated all the surrounding villages as a precaution.

Detained in the same context hospitals admitted Alexandria, Qena and the lake, three cases of suspected bird flu patients, including children, Mahmoud Ragab bluff ?3 years?, and a resident of Kafr Al-Dawar, and Izzat Mohammad Sami ?35 years?, housewife Damanhour and Princess Razeq Abulhasan ? 21 years ?housewife from the village of? Millennium Izbat ?Bdhna. Executed and the Directorate of Veterinary Medicine province October 6, 5662 birds, suspected of being infected with bird flu.

For its part, held the supreme committee for combating bird flu meeting yesterday under the chairmanship of Major General Mohamed Abdel Salam Mahgoub, Minister of Local Development and the presence of ministers of health, agriculture and the environment and the governors of Cairo and October 6 Qalubia and Eastern Dakahlia Monoufia, Fayyoum and the West, Beni Suef and representatives of defense and interior ministers, the heads of the General Authority for Information and the General Authority for Veterinary Services, to follow up national plan to combat bird flu,

He emphasized that he was the processing of more than 61 million doses of vaccine and the formation of a strategic stockpile of the antiviral drug ?Tamiflu? up to more than 2.4 million doses to deal with cases of infected and suspect.

http://www.almasry-alyoum.com/article2.aspx?ArticleID=205455

لجنة متخصصة تفحص منزل طفل البحيرة المصاب بـ?أنفلونزا الطيور?.. واحتجاز ٣ حالات اشتباه جديدة

كتب عيد عبدالجواد وشيماء عادل ٣/ ٤/ ٢٠٠٩


الجبلى


قامت لجنة متخصصة من وزارة الصحة والطب الوقائى والطب البيطرى بالانتقال إلى منزل الطفل محمد الشحات حسن عامر ?عامين? والذى يحمل رقم ٦١ فى الحالات المصابة بمرض أنفلونزا الطيور، فى محافظة البحيرة، فور تأكد إصابته بالمرض، لفحص المنزل والمنازل المجاورة، وأكد الدكتور محمد فريد، مدير الطب البيطرى بالمحافظة، عدم وجود طيور بمنزله.

وقررت اللجنة إعدام جميع الطيور الموجودة بالمنازل المحيطة ودفنها بالمدفن الصحى، وتم تطهير المنطقة بالكامل، ويجرى حالياً تحصين جميع القرى المحيطة كإجراء وقائى.

فى السياق نفسه احتجزت مستشفيات حميات الإسكندرية وقنا والبحيرة ثلاث حالات اشتبه فى إصابتهم بمرض أنفلونزا الطيور ومن بينهم الطفل محمود رجب شامخ ?٣ سنوات?، والمقيم فى كفر الدوار، وعزة محمد على الصومى ?٣٥ سنة?، ربة منزل من دمنهور وأميرة عبدالرازق أبوالحسن ?٢١ سنة? ربة منزل من قرية ?عزبة الألفى? بدشنا. وأعدمت مديرية الطب البيطرى بمحافظة ٦ أكتوبر ٥٦٦٢ طائراً، اشتبه فى إصابتها بأنفلونزا الطيور.

من جانبها عقدت اللجنة العليا لمكافحة مرض أنفلونزا الطيور اجتماعاً أمس برئاسة اللواء محمد عبدالسلام المحجوب وزير التنمية المحلية بحضور وزراء الصحة والزراعة والبيئة ومحافظى القاهرة و٦ أكتوبر والقليوبية والشرقية والدقهلية والمنوفية والفيوم والغربية وبنى سويف وممثلى وزارتى الدفاع والداخلية ورئيسى الهيئة العامة للاستعلامات والهيئة العامة للخدمات البيطرية، لمتابعة الخطة القومية لمكافحة مرض أنفلونزا الطيور،

مؤكداً أنه تم تجهيز أكثر من ٦١ مليون جرعة لقاح وتكوين مخزون استراتيجى من عقار ?التاميفلو? يصل إلى أكثر من ٢.٤ مليون جرعة للتعامل مع الحالات المصابة والمشتبه بها.