Egypt - Confirmed H5N1 in Humans April 15, 2009 - May 18, 2009

[HenryN]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

Egyptian woman, baby have H5N1 infections



Apr 20, 2009 (CIDRAP News) - Egypt's state media reported two new H5N1 avian influenza infections within 2 days of each other, in a 25-year-old woman and an 18-month girl.
The state-run paper Al Ahram, quoting the country's health ministry, reported on Apr 17 that the woman is from Qalubia governorate and was hospitalized in critical condition, according to report from Agence France-Presse.
The woman is 33 weeks pregnant and began experiencing a fever and cough on Apr 6, according to an Apr 17 report from Strengthening Avian Influenza Detection and Response (SAIDR), an Egypt-based project funded by the US Agency for International Development. She was admitted to a Cairo hospital on Apr 11 and received oseltamivir (Tamiflu) 6 day later when her H5N1 infection was confirmed. The woman's family reported she had close contact with sick poultry.
Two days later MENA, Egypt's state news agency, said the baby girl was hospitalized after having contact with infected birds and that she was treated immediately with oseltamivir (Tamiflu), Reuters reported today.
The girl is from Kafr el-Sheikh, the same province as another of Egypt's recent H5N1 case-patients, a 33-year-old woman who was in critical condition, according to an Apr 17 report from the WHO. On Apr 15 agriculture officials confirmed an H5N1 outbreak in backyard birds in Kafr el-Sheikh, according to a report from SAIDR.
If the World Health Organization confirms the cases in the 25-year-old and the 18-month-old, Egypt's H5N1 count will increase to 66 cases, of which 23 have been fatal.
So far this year, Egypt has had 15 H5N1 cases, including the two latest ones, outpacing all other countries in 2009. However, none of the cases have been fatal. The preponderance of cases in children?only four patients have been adults?and number of new human cases have raised global speculation about possible subclinical cases or a change in the H5N1 virus in Egypt that might have made the virus more transmissible but somewhat less lethal.
It was reported last week that the WHO planned to send a team to Egypt to investigate the avian flu situation there. Gregory Hartl, a spokesman for the WHO, told CIDRAP News that because of holiday observances in Egypt, the WHO team just left for that country today.
See also:
Apr 17 SAIDR report
Apr 15 SAIDR report

http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/apr2009egypt-br.html

[Giuseppe]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

Egypt: Press release of the High National Committee to combat Bird Flu (4/21/2009)

Press release of the High National Committee to combat Bird Flu

On Sunday 19/4/2009 the bird flu human infection No. 66 was confirmed.


The infection was for Manar Ibraheem Saad, aged one year and half, from Sbas Amaire Village, Kafr El Sheik Governorate.

Manar showed symptoms of infection on 15/4/2009. She was admitted to Kafr El Sheik fever Hospital on 18/4/2009.

She was suffering from high fever and difficulty in breath after being exposed to dead birds suspected of being infected with bird flu.

She has been given the antiviral [drug] Tamiflu as soon as she was suspected of being infected with the disease.

Manar status now is stable.
-

<cite cite="http://birdflu.sis.gov.eg/html/flu010233.htm">Bird Flu</cite>

[HenryN]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

Brother (5M) of latest confirmed toddler in Kellin is hospitalized in Kafr el Sheikh Fever Hospital, so this may be exception and media may have identified one (or more) H5N1 cases prior to confirmation.

[sharon sanders]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

hat tip Helblindi -


<table class="contentpaneopen" style="text-align: left; direction: ltr;"><tbody><tr><td class="contentheading" width="100&#37;"> Official report: 6549 in the case of suspected bird flu infection since the appearance of the virus in Egypt </td><td class="buttonheading" align="right" width="100%"> </td><td class="buttonheading" align="right" width="100%"> </td><td class="buttonheading" align="right" width="100%"> </td></tr></tbody></table><table class="contentpaneopen" style="text-align: left; direction: ltr;"><tbody><tr><td colspan="2" class="createdate" valign="top">

21/04/2009

21/04/2009

</td></tr><tr><td colspan="2" valign="top">

كتب - طارق عبدالعزيز والعربي مرزوق وأحمد العشري:

Books - Arabic, Tariq Aziz, Ahmed Ashry Marzuk:

كشف تقرير صادر عن إدارة الطب الوقائي بوزارة الصحة عن رصد الوزارة لـ 6549 حالة اشتباه بمرض إنفلونزا الطيور منذ ظهور المرض في فبراير من عام 2006 و أشار التقرير إلي تصدر محافظة القاهرة محافظات مصر في أعداد الأشخاص المشتبه في إصابتهم بمرض إنفلونزا الطيور بـ 861 حالة يليها الغربية بـ823 حالة ثم كفر الشيخ بـ542 حالة فيما تتذيل محافظات شمال وجنوب سيناء ومرسي مطروح في آخر القائمة بحالتي إصابة لكل منهم بينما لم تشهد محافظة 6 أكتوبر أي إصابات،

A report released by the Department of Preventive Medicine, Ministry of Health Ministry for 6549 to monitor the suspected case of avian flu since the disease outbreak in February 2006 and noted the report issued to the Cairo governorate over Egypt in the numbers of persons suspected of being infected with bird flu b 861 deaths, followed by Western b 823, then the case of Kafr El-Sheikh b 542 in the case bottom provinces of North and South Sinai and Marsa Matrouh on the end of the list the cases of injury, while each province has not seen any injuries on October 6,

يأتي ذلك في الوقت الذي أعلنت فيه وزارة الصحة أمس الأول عن الإصابة رقم 66 بالمرض لطفلة تدعي منار سعد - سنة ونصف السنة - بمحافظة كفر الشيخ دخلت علي إثرها مستشفي حميات المحافظة وهي تعاني ارتفاعًا في درجة الحرارة وسعالاً عقب تعرضها لطيور نافقة يشتبه إصابتها بالمرض.

This comes at a time when the Ministry of Health yesterday the first No. 66 on the incidence of the disease in a girl alleges Manar Saad - one and a half years - entered the province of Kafr el-Sheikh to hospital suffering fevers maintain a rise in temperature and coughing after exposure to dead birds suspected of being infected with the disease.

وحول المخاوف التي أطلقها تقرير لمنظمة الصحة العالمية عن تحور فيروس إنفلونزا الطيور في مصر مما يؤدي إلي انتشاره بين البشر، أكد الدكتور عادل خطاب - مستشار وزير الصحة لمكافحة إنفلونزا الطيور- أن فيروس إنفلونزا الطيور مازال علي هيئته الأولي ينتقل من الطيور إلي الإنسان فقط، ولم تشهد مصر حتي الآن أي تحور للفيروس يؤدي إلي انتقاله بين البشر وبعضهم البعض، كما أنه لم يدخل مرحلة الأمراض شديدة الضراوة بدليل أن مصر لم تشهد أي حالة وفاة بين 14 إصابة بالمرض هذا العام، لافتا إلي أن تقرير الصحة العالمية لا يحتوي علي أي دليل يؤكد تحور الفيروس أو إصابة شخص دون أن تظهر عليه الأعراض، مشيرًا إلي أن جميع حالات الاشتباه في الإصابة بالمرض تم تحويلها علي مستشفيات الحميات لإخضاعها للفحوصات الطبية، مشيرًا إلي أن الإصابات المتتالية التي تشهدها مصر سببها التربية المنزلية للطيور رغم حملات التوعية والقوانين التي سنتها الوزارة منذ عدة سنوات لمكافحة المرض.

On the concerns made by the World Health Organization report on bird flu virus in Egypt, which leads to the spread between humans, Dr. Adel Khattab - Advisor to the Minister of Health to combat avian influenza - bird flu virus is still on its initial move from birds to humans only, not The best so far, no mutation of the virus leads to transmission between humans and each other, and it did not enter the stage of disease very harsh evidence that Egypt did not witness any of the 14 deaths among the disease this year, pointing out that the World Health Report does not contain any evidence that the virus will mutate or injured person without showing symptoms, noting that all cases of suspected infection were transferred to hospitals subject to the diets of the medical tests, indicating that successive infections in Egypt due to the education of household birds, despite awareness campaigns and laws enacted by the ministry for several years to combat the disease.

وقالت الدكتورة سوزان العباسي - مديرة مستشفي حميات كفر الشيخ: إن المستشفي استقبل 8 حالات يشتبه في إصابتهم بالمرض ومن بينهم الطفل عمرو إبراهيم زيدان - 5 سنوات -، شقيق الطفلة منار إبراهيم التي تأكدت إصابتها بالمرض.

Said Dr. Susan Abbasi - Director of Kafr El-Sheikh hospital admitted: that the hospital had received 8 cases of suspected SARS patients, including children, Amr Ibrahim Zidan - 5 years - the brother of Ibrahim al-Manar, which the girl child infected with the disease have been confirmed.

وأكدت مديرة المستشفي أن الحالات هم 5 أطفال و3 سيدات.

The Director of the hospital cases were 5 children and 3 women.

http://dostor.org/ar/content/view/20539/1/

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

[sharon sanders]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +



Egyptian child dies of bird flu



CAIRO (AFP) – An Egyptian boy has died of bird flu, the 24th reported death from the disease since it broke out in the country in 2006, state media reported on Tuesday.

The six-year-old from the outskirts of Cairo died of respiratory failure, the state-run MENA news agency quoted a health ministry official as saying. He had been in hospital since last month.

It was the first death from the disease this year, the official said, although four new cases have been reported over the past week.

The fourth was a four-year-old boy in the southern province of Sohag, the health ministry announced on Tuesday.

On Monday, the ministry said that an 18-month-old girl had contracted the virus, and last week it said that two women were in critical condition after being infected.

Sixty-seven Egyptians have contracted the potentially fatal disease since its outbreak.

Egypt has seen an increase in bird flu cases over the past two months. The World Health Organisation (WHO) called in March for an investigation into why many of the victims have been young children.

Egypt hosted an international conference on bird flu last October, when Washington pledged an additional 320 million dollars 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.

http://news.yahoo.com/s/afp/20090421/wl_mideast_afp/egypthealthflu

[HenryN]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

Egypt reports 24th bird flu death
Latest casualty is a 6-year-old boy, nation?s health ministry says
The Associated Press
updated 2:09 p.m. ET, Tues., April 21, 2009
<SCRIPT language=javascript> function UpdateTimeStamp(pdt) { var n = document.getElementById("udtD"); if(pdt != '' && n && window.DateTime) { var dt = new DateTime(); pdt = dt.T2D(pdt); if(dt.GetTZ(pdt)) {n.innerHTML = dt.D2S(pdt,(('false'.toLowerCase()=='false')?false :true));} } } UpdateTimeStamp('633759341812470000');</SCRIPT>
CAIRO, - The Egyptian Health Ministry says a 6-year-old boy has died of bird flu, the country's 24th casualty to the lethal virus.
In a statement Tuesday, Health Ministry Spokesman Abdel-Rahman Shahine says the boy, Ali Mohammad Ali was admitted to hospital last month with symptoms of the deadly H5N1 virus.
The boy, who lived in the gritty Cairo suburb of Shubra el-Kheima, was give the drug Tamiflu but remained in critical condition until his death Tuesday.
Though no details were given about how the boy contracted the virus, women and children in Egypt are especially susceptible because they generally care for domestic fowl.
Egypt is one of the countries most affected by the H5N1 strain outside Asia and there have been 65 cases since 2006.

Copyright 2009 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
<SCRIPT>var url=location.href;var i=url.indexOf('/did/') + 1;if(i==0){i=url.indexOf('/print/1/') + 1;}if(i==0){i=url.indexOf('&print=1');}if(i>0){url = url.substring(0,i);document.write('URL: '+url+'
');if(window.print){window.print()}else{alert('To print his page press Ctrl-P on your keyboard \nor choose print from your browser or device after clicking OK');}}</SCRIPT>URL: http://www.msnbc.msn.com/id/30328980/

[sharon sanders]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

more on latest confirmed case - 4 year old from Sohag govenorate

Health announces the death of bird flu to 24 children from 67 inch to the injury of another Suhaj

اضغط للتكبير

Click to Enlarge
<!-- Capture -->

الوفاة 24 بانفلونزا الطيور في مصر - ا ف ب

24 deaths from bird flu in Egypt - AFP <!-- Capture -->

• <!--
• حفظ-->
• <script language="JavaScript">StoreDocumentLink();</script>احفظ الخبر
• اطبع
  Print
• أضف تعليق
  Add comment
• ارسل
  E-mail

4/21/2009 7:44:00 PM

4/21/2009 7:44:00 PM

القاهرة - محرر مصراوي - أعلن الدكتور عبدالرحمن شاهين المستشار الإعلامى المتحدث الرسمى لوزارة الصحة عن وفاة الطفل على محمد على سمعة البالغ من العمر 6 سنوات من شبرا الخيمة بمحافظة القليوبية ، إثر فشل فى التنفس.

CAIRO - Editor Masrawy - Dr. Abdel Rahman Shahin, official spokesman, media adviser to the Ministry of Health for the death of a child to the reputation of Muhammad Ali, aged 6 years of Shubra al-Khaimah government to, in respiratory failure.

وأشار شاهين إلى أن إجمالى عدد الوفيات قد وصل إلى 24 حالة منذ بداية ظهور مرض انفلونزا الطيور فى مصر عام 2006 حتى وفاة هذه الحالة ، التى تعد الحالة الأولى خلال هذا العام.

Shaheen noted that the total number of deaths has reached 24 cases since the beginning of an outbreak of bird flu in Egypt in 2006 until the death of this situation, which is the first case this year.

وكان الطفل المتوفى قد ظهرت عليه الأعراض يوم الأحد الموافق 22 مارس الماضى دخل على أثرها مستشفى عين شمس الجامعى يوم السبت 28 من نفس الشهر وفور الاشتباه بإصابته بالمرض تم إعطاؤه عقار (التاميفلو) ، وكانت حالته الصحية حرجة.

The deceased child had developed symptoms on Sunday, March 22 last on their income, Ain Shams University Hospital on Saturday, 28 of the same month, immediately after the suspected cases of cholera have been given the drug (Tamiflu), and his condition was critical.

في سياق متصل صرح شاهين أنه تأكدت الثلاثاء الإصابة البشرية رقم 67 بمرض إنفلونزا الطيور لطفل يدعى أحمد رمضان كمال الدين " 4 سنوات" من أخميم بمحافظة سوهاج .

In a related development, said Shaheen, confirmed Tuesday that the incidence of human disease No. 67 of avian flu to a child named Kamaluddin Ahmed Ramadan, "4 years" Okhmim from the governorate of Sohag.

وقال شاهين إن بداية ظهور الأعراض على الطفل كانت يوم 18 من الشهر الجارى ، ودخل على أثرها يوم السبت الماضى الى مستشفى حميات سوهاج وهو يعانى من إرتفاع فى درجة الحرارة ورشح عقب تعرضه لطيور نافقة يشتبه فى إصابتها بمرض إنفلونزا الطيور.

Sahin said that the onset of symptoms the child had been on 18 this month, and the impact of income on Saturday admitted to hospital in Sohag, which is suffering from high temperature and was nominated after being exposed to birds suspected of being infected with bird flu.

وأوضح أنه فور الإشتباه فى إصابته بالمرض تم إعطاؤه عقار التاميفلو وحالته المرضية مستقرة .

He pointed out that once the suspicion of being infected with the disease were given the drug Tamiflu and the condition is stable.

المصدر: وكالة انباء الشرق الاوسط

Source: Middle East News Agency

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

[sharon sanders]

Updated Confirmed H5N1 Cases Egypt - 2009

# 52 - 2 years, female, onset date - January 9, 2009, Kerdasa district in Sixth of October governorate

# 53 - 2 years, female, onset date - January 23, 2009, Manofia Governorate, Shebin Elkom District

# 54 - 2 years, male, onset date - February 2, 2009, Suez governorate, some 120 km east of Cairo

# 55 - 2 years, male, onset date - February 7, 2009, village of Aljaddamy, Minya Governorate.

# 56 - 2 years, male, onset date - February 25, 2009, Yousef el seddik district of Fayoum Governorate

# 57 - 2 years, male, onset date - March 1, 2009, Ameriya, Alexandria governorate

# 58 - 1.5 years, female, onset date - March 6, 2009, village of metropolitan Mnov Menofia Center.

# 59 - 38 years, female, onset date - March 14, 2009, village of Al Fatah Almasrp Center Assiut Governorate

# 60 - 2.5 years, female, onset date - March 23, 2009, Nagaa' Abou Shouk village, Dandara, Qena governorate.

# 61 - 2 years, male, onset date - March 27, 2009, from Kom Hamada District, El Behira governorate

# 62 - 2 years, male, onset date - March 31, 2009, from Kom Hamada District, El Behira governorate (cousin of # 61)

# 63 - 6 years, male, onset date - March 22, 2009, from Shubra El Khema District, Al Qalyubiyah governorate. DEATH

# 64 - 33 years, female, onset date - April 7, 2009, Kafr el-Sheik province

# 65 - 25 years, female, onset date - April 6, 2009, from Al-Marg area, Cairo governorate.

# 66 - 18 mo., female, onset date - April 15, 2009, Chaabas Amir Kulain Village, Kafr el-Sheik province

# 67 - 4 years, male, onset date - April 18, 2009, Sohag governorate.

[HenryN]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

Map updated

http://maps.google.com/maps/ms?ie=UTF8&hl=en&t=p&msa=0&msid=106484775090296685271.00045e1b927e68d58eab0&ll=28.921631,30.915527&spn=8.572027,15.974121&z=6

There are no confirmed H5N1 poultry deaths in Sohag.

[HenryN]

Re: Updated Confirmed H5N1 Cases Egypt - 2009

# 52 - 2 years, female, onset date - January 9, 2009, Kerdasa district in Sixth of October governorate

# 53 - 2 years, female, onset date - January 23, 2009, Manofia Governorate, Shebin Elkom District

# 54 - 2 years, male, onset date - February 2, 2009, Suez governorate, some 120 km east of Cairo

# 55 - 2 years, male, onset date - February 7, 2009, village of Aljaddamy, Minya Governorate.

# 56 - 2 years, male, onset date - February 25, 2009, Yousef el seddik district of Fayoum Governorate

# 57 - 2 years, male, onset date - March 1, 2009, Ameriya, Alexandria governorate

# 58 - 1.5 years, female, onset date - March 6, 2009, village of metropolitan Mnov Menofia Center.

# 59 - 38 years, female, onset date - March 14, 2009, village of Al Fatah Almasrp Center Assiut Governorate

# 60 - 2.5 years, female, onset date - March 23, 2009, Nagaa' Abou Shouk village, Dandara, Qena governorate.

# 61 - 2 years, male, onset date - March 27, 2009, from Kom Hamada District, El Behira governorate

# 62 - 2 years, male, onset date - March 31, 2009, from Kom Hamada District, El Behira governorate (cousin of # 61)

# 63 - 6 years, male, onset date - March 22, 2009, from Shubra El Khema District, Al Qalyubiyah governorate. DEATH

# 64 - 33 years, female, onset date - April 7, 2009, Kafr el-Sheik province

# 65 - 25 years, female, onset date - April 6, 2009, from Al-Marg area, Cairo governorate.

# 66 - 18 mo., female, onset date - April 15, 2009, Chaabas Amir Kulain Village, Kafr el-Sheik province

# 67 - 4 years, male, onset date - April 18, 2009, Sohag governorate.

Cases #64 and #66 are from Kellin (aka Kulain) district (and brother of case #66 is hospitalize)

[Sally Furniss]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

regarding case 63
''the suspected cases of cholera have been given the drug (Tamiflu)"

[HenryN]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

<a rel="nofollow" href="http://www.recombinomics.com/News/04210904/H5N1_Egypt_Kellin_3.html">Commentary</a>

[HenryN]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

regarding case 63
''the suspected cases of cholera have been given the drug (Tamiflu)"

Cholera isn't treated with Tamiflu.

[HenryN]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

Egyptian boy dies of bird flu



9 mins ago
CAIRO (Reuters) – A six-year-old Egyptian boy has died of the H5N1 bird flu virus, the 24th human fatality of the disease in Egypt, state news agency MENA said on Tuesday.
Ali Mohamed Ali Somaa from Qalyubia died of respiratory failure, Egypt's first bird flu fatality of 2009, MENA quoted a health ministry spokesman as saying.
Somaa had been admitted to hospital in late March.
The spokesman also said Ahmed Ramadan Kamal el-Din, a 4-year-old boy from Sohag province, had contracted bird flu and was in hospital. The boy was being treated with the antiviral drug Tamiflu.
Kamal el-Din was admitted to hospital on Saturday suffering from fever after exposure to dead poultry suspected of having died of bird flu, MENA said. He is in stable condition.
The new infection brings to 67 the number of bird flu cases in humans in the most populous Arab country, which has been hit harder by bird flu than any other country outside Asia.
Egypt has seen a surge in human cases in recent months, with 16 confirmed since the start of the year, compared to seven cases between January 1 and April 17 last year.
While the H5N1 avian influenza virus rarely infects people, experts say they fear it could mutate into a form that people could easily pass to one another, sparking a pandemic that could kill millions.
Most infected Egyptians had come into contact with infected domestic birds in a country where roughly 5 million households depend on domestically raised poultry as a significant source of food and income.
The World Health Organization said this month it was concerned some Egyptians may carry the bird flu virus without showing symptoms and this could give the virus more of a chance to mutate to a strain that spreads easily among humans.
(Writing by Aziz El-Kaissouni; Editing by Charles Dick)

http://news.yahoo.com/s/nm/20090421/sc_nm/us_birdflu_egypt

[HenryN]

Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

Egyptian 6-year-old Dies of Bird Flu; 4-Year-Old Gets Disease


Email | Print | A A A


By Alaa Shahine
April 21 (Bloomberg) -- A 6-year-old boy died in Egypt after contracting avian influenza, becoming the country’s 24th human casualty of the disease since 2006, the state-run Middle East News Agency reported today.
Egypt has the highest number of avian-flu cases outside Asia, according to the most recent data from the World Health Organization, a UN agency. With the newest reports, the number of infected people there has reached 67.
The boy, Ali Mohamed Ali, is the first fatality attributed to the virus in Egypt this year, the news agency quoted Abdel- Rahman Shahine, a spokesman for the Health Ministry, as saying. The boy had shown symptoms of the virus on March 22 after coming in contact with dead birds, Shahine said.
The Health Ministry reported the 67th infection earlier today, saying 4-year-old Ahmed Kamaleddin has contracted the virus. He was in the hospital in what was described as stable condition.
Kamaleddin was given Roche Holding AG’s drug Tamiflu as a treatment, the news agency quoted Shahine as saying.
Roche, of Basel, Switzerland, says the antiviral medicine can reduce the severity and duration of flu symptoms if taken within 48 hours of the onset of disease. Early treatment for the H5N1 avian flu, the type that can be fatal in humans, may improve survival, some uncontrolled studies have shown.
Egypt has asked the World Health Organization to help investigate an outbreak of the so-called bird flu after a dozen non-fatal cases of the disease this year prompted speculation the virus may be becoming less virulent.
To contact the reporter on this story: Alaa Shahine in Cairo at asalha@bloomberg.net
Last Updated: April 21, 2009 14:45 EDT

http://www.bloomberg.com/apps/news?pid=20601202&sid=aBQ9cmxVYmZw&refer=healthcare