Announcement

**sharon sanders** · March 5, 2009, 07:28 AM

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

This says symptoms of the disease "entered" on March 1st -

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‏السنة 133-العدد

Year 133 - Issue </td><td>

2009

2009 </td><td>

مارس

Mar </td><td>

5

5 </td><td>

‏8 من ربيع الاول 1430 هـ

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

الخميس

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

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الإصابة رقم‏57‏ بإنفلونزا الطيور لطفل بالإسكندرية
No. 57, the incidence of bird flu of a child in Alexandria

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صرح الدكتور نصر السيد مساعد وزير الصحة للطب الوقائي بأن الاصابة البشرية رقم‏57‏ بمرض إنفلونزا الطيور قد تأكدت امس وهي لطفل يدعي عبدالله عمران ويبلغ من العمر سنتين و‏8‏ أشهر من العامرية بمحافظة الاسكندرية‏.‏ وأضاف أن بداية ظهور أعراض المرض علي الطفل كانت امس الأول ودخل علي اثرها مستشفي حميات الاسكندرية‏.‏

Dr. Sayed, Assistant Minister of Health for Preventive Medicine, that the No. 57 of human infection of avian influenza disease were confirmed yesterday for a child claims Imran Abdullah, a two-year-old and 8 months of Ameriya, Alexandria governorate. He added that the onset of symptoms of the disease the child was entered on the first and admitted to hospital in Alexandria.

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Just a moment...

http://www.ahram.org.eg/Index.asp?CurFN=egyp14.htm&DID=9877

**sharon sanders** · March 5, 2009, 07:48 AM

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

A new suspected case - Our suspicion of a prevalent symptom of diarrhea in this strain of H5N1 may be true -

Injury to a child suspected of bird flu in Aswan
<table class="contentpaneopen" style="text-align: left; direction: ltr;"><tbody><tr><td colspan="2" class="createdate" valign="top"> 05/03/2009 </td></tr><tr><td colspan="2" valign="top">

أسوان: حمادة بعزق

Aswan: Hamada Bazk

تلقت غرفة عمليات مديرية الصحة في أسوان بلاغاً يفيد بدخول طفل يدعي يوسف شاذلي ?عام ونصف? مستشفي حميات أسوان ويعاني من نزلة معوية حادة نتيجة مخالطته طيوراً نافقة ويشتبه في إصابته بمرض أنفلونزا الطيور.

Received an operation room in Aswan at the Directorate of Health a report to enter the child named Youssef Sadli ?a year and a half? Aswan fevers and hospital suffering from a severe bout of gastroenteritis, usually the result of dead birds suspected of being infected with bird flu.

تم إخطار جميع الجهات المعنية بالواقعة، وتقرر أخذ عينة من دم الطفل وإرسالها إلي المعامل المركزية في القاهرة لتحليلها كما تم أخذ عينات من الطيور بقرية عمرو بن العاص في إدفو والتي تقيم بها أسرة الطفل للتأكد مما إذا كانت مصابة بالمرض من عدمه.

Been notified of all concerned the incident, and decides to take the blood sample of the child and sent to the central laboratory in Cairo for analysis have also been taking samples from birds village Amr ibn al-Aas in Edfu, which assesses the child's family to ascertain whether infected or not.

وقررت الأجهزة المختصة في المحافظة تكثيف الإجراءات الوقائية بمدن كوم أمبو ودراو ونصر النوبة لمنع ظهور أي إصابة بشرية بالمرض

The competent organs of the intensification of preventive measures to maintain the cities of Kom Ombo and the resources and the Nuba victory to prevent the emergence of any human cases of the disease

http://www.elbadeel.net/index.php?option=com_content&task=view&id=47693&Itemid=33

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**Gert van der Hoek** · March 5, 2009, 10:17 AM

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

RECENT CASES:

Date of report: 4 March 2009

Governorate: Alexandria

District: Amira

Event summary: Boy, age 2½, began experiencing symptoms March 3. The same day, he was admitted to Alexandria Fever Hospital and received Tamiflu. Infection with avian influenza was confirmed March 4.

His family reported a history of close contact with dead and sick poultry. The child was in a good general condition March 4. The MOHP reported this was the 57th case of highly pathogenic avian influenza in Egypt.

Source of report: Amr Kandeel, Undersecretary for preventative affairs, MOHP
Samir Refaie, Head of Epideiology and Surveillance Unit, MOHP

Date of report: 1 March 2009

Governorate: Fayoum

District: Youssef el Seddik

Event summary: Boy, age 2, began experiencing symptoms Feb. 25. He was admitted to Manshiet el Bakry General Hospital on Feb. 28. The child received Tamiflu the same day.

Infection with avian influenza was confirmed March 1. His mother reported a history of close contact with dead and sick poultry. The child was in a critical condition under artificial ventilation March 1. The MOHP reported this was the 56th case of highly pathogenic avian influenza in Egypt.

Source of report: Amr Kandeel, Undersecretary for preventative affairs, MOHP
Samir Refaie, Head of Epideiology and Surveillance Unit, MOHP

http://www.saidr.org/en/humans.php#040309

**sharon sanders** · March 5, 2009, 12:11 PM

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

Thanks Dutchy!

Regarding Imran Abdullah, commonly referred to as case # 57, the newspaper article in post 46 says his symptoms started March 1.

**AlaskaDenise** · March 5, 2009, 02:30 PM

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

Originally posted by niman View Post

Commentary at

http://www.recombinomics.com/News/03...ccine_X_2.html

Commentary

Vaccine Resistant H5N1 Cases in Egypt Raise Concerns

Recombinomics Commentary 13:26
March 5, 2009

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

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

The above comments describe the two most recent H5N1 confirmed cases in Egypt. Although widely separated in space (see updated map), the two cases are close in time and were likely infected by the vaccine resistant strain of H5N1.

This strain emerged just over a year ago and quickly became dominated in poultry, including vaccinated flocks. The last human case reported last season was infected with the resistant strain and almost all poultry isolates from the late spring and summer were the vaccine resistant strain.

Although NAMRU-3 has not released any poultry or human sequences this season, two of the human isolates were included in a WHO HA phylogenetic tree of vaccine candidates indicate the human isolates had evolved away from last seasons sequences, but were still derived from the vaccine resistant strain.

These data indicate the H5N1 has defeated the extensive vaccine program in Egypt and now was dominant in the poultry and human population. The two cases above were confirmed within two days of each other and media reports suggest there is a familial cluster in Cairo.

This spike in human cases that are likely infected with vaccine resistant H5N1 is cause for concern.

.

**sharon sanders** · March 5, 2009, 02:36 PM

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

Brother and sister hospitalized -

Problems with vaccination of poultry blamed for cases -

<table class="contentpaneopen" style="text-align: left; direction: ltr;"><tbody><tr><td class="contentheading" width="100%"> The detention of two b «fevers Fayyoum» Atchabh of injuries in the bird flu </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" valign="top">

مسئول بالطب البيطري يحذر من تفشي المرض بمركز «يوسف الصديق» نتيجة الافتقار لوسائل التحصين ضد المرض

Veterinary official warns of the spread of the disease status of «Yusuf friend» a result of the lack of the means of immunization against the disease

الفيوم ـ أحمد سيف النصر:

Fayyoum Ahmed Seif Al-Nasr:

احتجز مستشفي حميات الفيوم شقيقين من مركز «يوسف الصديق» للاشتباه في إصابتيهما بمرض إنفلونزا الطيور، حيث تم احتجاز الطفلة سارة محمد سعيد 4 سنوات وشقيقها عبد الرحمن عامين بعد أن ظهرت عليهما أعراض المرض من ارتفاع درجة الحرارة وضيق في التنفس، وقد تم أخذ عينات من الطفلين وإرسالها إلي المعامل المركزية لتحليلها لبيان خلو الطفلين من المرض أو وجوده،

Detained hospital fevers Fayyoum brothers Center «Yusuf friend» on suspicion of bird flu disease, injuries, where the girl was detained Mohammed Saeed Sarah 4 years and her brother, Abdul Rahman, two years after showing symptoms of the disease, the high temperature and shortness of breath, has been sampling the children and sent to central laboratories for analysis to demonstrate the absence of disease or the children of its existence,

وقد أبدي أهالي مركز يوسف الصديق تخوفهم من انتشار المرض بقري المركز واتهموا مديرية الطب البيطري بالفيوم بعدم القيام بدورها في إجراءات الوقاية من المرض حيث اعترف الدكتور محمد أحمد بدر ـ طبيب الوحدة البيطرية بقرية «قوته» ـ بوجود معوقات كثيرة لتطعيم الطيور باللقاح بسبب بعد الوحدات البيطرية عن الإدارة البيطرية بالمركز والواقعة بقرية «الشواشنة» والتي تبعد أكثر من 30 كيلو متراً ولا يوجد سوي سيارتين واحدة متعطلة تماماً والثانية متهالكة لا تصلح لأي شيء، وأكد رفض المديرية تزويد السيارة بالبنزين سوي 2 لتر فقط يومياً حسب تأكيد الدكتور محمود جودة ـ وكيل وزارة الطب البيطري بالفيوم ـ الذي حذر من كارثة محققة إذا استمرت هذه الحال.

The status of the people expressed fears Yusuf Siddiq cow spread of the disease status and accused the Directorate of Veterinary Medicine Fayyoum not to play its role in the prevention of the disease as recognized by Dr. Mohamed Ahmed Badr veterinary doctor Unity Village «strength» that there are many obstacles to vaccination because of the flu vaccine, veterinary units Veterinary Center of the Administration and the village of «Alhaouacnp» and which was more than 30 kilometers and there were only two cars and one of order and the second completely worn not good for anything, and he refused to provide the Directorate car only 2 liters of petrol a day only to confirm the quality of Dr. Mahmoud, undersecretary of Medicine Veterinary Fayyoum, which warned of a real catastrophe if this case.

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404 - File or directory not found.

http://dostor.org/ar/index.php?option=com_content&task=view&id=16290&Itemid=37

**sharon sanders** · March 5, 2009, 02:39 PM

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

Apparently we need to start a list on the current suspected/confirmed cases in Egypt similar to what we have for the Indonesian cases.

**HenryN** · March 5, 2009, 03:15 PM

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

Originally posted by Florida1 View Post

Apparently we need to start a list on the current suspected/confirmed cases in Egypt similar to what we have for the Indonesian cases.

I think the differences between Egypt and Indonesia remain in the night and day category. In Indonesia, there is an obvious effort to limit confirmed cases. Announcements are made weeks or months after confirmation, and almost all cases are fatal. Media coverage is strong, and almost all confirmed cases are described in detail well before confirmation is announced, and in many cases the media describes lab confirmation, but cases are still not announced.

In Egypt, it is just the opposite. I think the number of cases identified in the media prior to confirmation remains close to zero (I think one was in the media prior to confirmation). However , dozens are hundreds of suspect cases are announced. The most dramatic flurry of suspect cases was a little over a year ago, when dozens of cases were announced daily, but none (one?) was confirmed. Similarly, almost none of the confirmed cases are noted in the media prior to confirmation. Similarly, Egypt has a record or reporting recovered cases. In fact in the spring of 2007, something like 16/17 confirmed cases recovered.

The Egyptian Chronicles recently cited two cases in Cairo, which were supposed to have been stated as confirmed. However, there has not yet been an announcement of the confirmations, which is unusual for Egypt, where confirmations are announced locally and in WHO updates shortly (24-48 h) after confirmation.

Thus, the situation in Egypt may change, but at this point the media reports of suspect cases do not precede confirmations.

**sharon sanders** · March 5, 2009, 03:17 PM

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

These suspected cases were reported February 26th but I saw it today.

A mother and daughter -

Reservation woman and her daughter kaafirs Sheikh on suspicion of avian influenza

[21:30 Mecca] [26/02/2009]

Books - Ahmed the Egyptian:

The Department of Kafr El-Sheikh hospital admitted the arrest of Ms. Merihan Mokhtar Abdel-Maksoud, 30 years old housewife, as well as Ngeltha Badir, Hoda Abdel-Rahman, student, 10 years, the two resident Mahallet village of Kafr el-Sheikh Moussa Center; the hospital for suspected bird flu; where the bird came to the hospital up temperature and running from the nose.

The Department of the hospital to take the samples to be sent to the Ministry of Health laboratories for analysis, and inform the Department's first police station in Kafr El-Sheikh, and the emancipation of an administrative record number 1603 the first section of Kafr el-Sheikh.

Attention Required! | Cloudflare

http://www.ikhwanonline.com/Article.asp?ArtID=45833&SecID=251

**Laidback Al** · March 5, 2009, 03:47 PM

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

Detained hospital fevers Fayyoum brothers Center «Yusuf friend» on suspicion of bird flu disease, injuries, where the girl was detained Mohammed Saeed Sarah 4 years and her brother, Abdul Rahman, two years after showing symptoms of the disease, the high temperature and shortness of breath, has been sampling the children and sent to central laboratories for analysis to demonstrate the absence of disease or the children of its existence

These two siblings probably come from Yusuf Friend (يوسف الصديق) the same area where the 2 year old child, Yusuf Mohamed Said Abdel Azim, was from. Yusuf Mohamed Said Abdel Azim was confirmed by WHO on March 2, 2009. http://www.who.int/csr/don/2009_03_02/en/index.html

**HenryN** · March 6, 2009, 11:32 AM

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

<table border="0" cellpadding="0" cellspacing="0" width="100%"><tbody><tr><td class="NewsDetailsTitle">Egyptian official denies two bird flu cases in Cairo </td> </tr> <tr> <td>
</td> </tr> <tr> <td class="NewsDetailsCategory">Health 3/6/2009 7:02:00 PM</td> </tr> <tr> <td> </td> </tr> <tr> <td class="ArticleDetails"> <table class="ImageFloat" align="left" cellpadding="0" cellspacing="0"> <tbody><tr> <td>
</td> </tr> <tr> <td id="tdCaption" class="pictureCaption" align="center" width="180">
</td> </tr> </tbody></table> CAIRO, March 6 (KUNA) -- Egyptian Chief of Health Affairs department in Cairo Dr. Naibal Abdul-Qader denied on Friday reports on emergence of two cases of bird flu in the Egyptian capital, excluding one case of a child who tested positive in Faiyum province.
Abdul-Qadir said in a press release that all suspected cases of the disease were in two hospitals, adding that laboratory results proved that the two cases were tested negative, disregarding rumors that the samples of those two cases were positive.
The only exceptional case was of a two-year old child from Faiyum province, who was under treatment at hospital, the statement added. (end) az.mb KUNA 061902 Mar 09NNNN

KUNA : Egyptian official denies two bird flu cases in Cairo - Health - 06/03/2009

http://www.kuna.net.kw/NewsAgenciesPublicSite/ArticleDetails.aspx?id=1980897&Language=en

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**HenryN** · March 6, 2009, 11:44 AM

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

I think a few comments are in order regarding media reports of suspect H5N1 cases, which stemmed in part from the recent report of two confirmed cases in Cairo, which have now been officially declared as false.

While I considered the report as suspect, because of the prior track record of media reports from Egypt, as well as a lack or detail or verifiable source (by name or link), I didn't consider the information as being markedly different than other reports (other than the note that the two cases were CONFIRMED). Most media reports from Egypt only go as far as citing the cases as suspect, which are not confirmed or mentioned further.

I still think there is a place for suspect cases in Egypt, but think threads of suspect and confirmed cases should be separate until there is some evidence that the suspect cases are likely to be confirmed (such as a physician citing some prelimary lab results or some compelling clinical or epidemiological data).

**Giuseppe** · March 6, 2009, 12:02 PM

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

[WARNING: Google Raw Machine Translation from Arabic to English. To see original article, please follow this link: http://www.kuna.net.kw/NewsAgenciesP...86&Language=ar - EDITED / Some variations from #59. IOH]

EGYPTIAN ... denies the emergence of cases of bird flu in Cairo

Health 06/03/2009 06:17:00 PM

Cairo - 6-3 (KUNA) -

The head of the Directorate of Health Affairs in Cairo, Dr. Abdul Qadir Nepal reports on the emergence of cases of bird flu in the Egyptian capital.

Abdul Kadir said in a press statement that all suspected cases of the disease found in two hospitals, laboratory results proved it was not the disease, except for a sample of a child from the province (Fayoum) at the age of two years he moved to Cairo.

He is receiving the injury cases of suspected bird flu cases infected by the Cairo hospital equipment and medical possibilities, noting that transmission of the cases led to believe the existence of the error cases in Cairo. (End)

g p / n b u KUNA 061817 Mar 09 GMT
-
----

[ARABIC]

سؤول مصرى ينفي ظهور حالتي اصابة بمرض انفلونزا الطيور في القاهرة
الصحة 06/03/2009 06:17:00 م

القاهرة - 6 - 3 (كونا) -- نفى رئيس مديرية الشؤون الصحية بالقاهرة الدكتور نيبال عبدالقادر ما تردد عن ظهور حالتي اصابة بمرض انفلونزا الطيور في العاصمة المصرية.
واكد عبدالقادر في تصريح صحفي ان جميع حالات الاشتباه بالمرض الموجودة بمستشفيين أثبتت النتائج المخبرية عدم اصابتها بالمرض باستثناء عينة لطفل من محافظة (الفيوم) يبلغ من العمر عامين مؤكدا نقله الى القاهرة.
وأوضح أنه يتم استقبال حالات الاشتباه بالاصابة بمرض انفلونزا الطيور والحالات المصابة بمستشفيات القاهرة بسبب التجهيزات والامكانيات الطبية فيها مشيرا الى ان انتقال الحالات أدى الى الاعتقاد الخطأ بوجود حالات اصابة في القاهرة.(النهاية) ع ز / ن ب ش كونا061817 جمت مار 09
-
------

**sharon sanders** · March 6, 2009, 12:13 PM

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

FT posted this information, with the following disclaimer, after the story appeared on several bird flu internet forums and blogs:

"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."

Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009 - April 9, 2009 - FluTrackers News and Information

http://www.flutrackers.com/forum/showpost.php?p=212320&postcount=41

When a rumour become widespread on the internet or in main stream media, FT will investigate and post the results here.

I am not apologizing for this. It is our policy.

**HenryN** · March 6, 2009, 01:16 PM

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

AVIAN INFLUENZA, HUMAN (48): EGYPT (CAIRO), SUSPECTED
************************************************** ***
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Wed 4 Mar 2009
Source: Egyptian Chronicles [edited]
<http://egyptianchronicles.blogspot.c...-to-cairo.html>

H5N1 human infection reaches Cairo
----------------------------------
The 1st 2 human infection cases in Cairo were announced yesterday
[Tue 4 Mar 2009].

A 32-year-old woman and her 55-year-old mother were infected by H5N1
[avian influenza virus] from the domestic poultry they used to raise.
They live in the Sahal area in Cairo. They were transferred to
hospital and were found to be H5N1 positive. Hopefully they will be
cured.

[Posted by Zeinobia]

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[If confirmed officially by the Egyptian Ministry of Health and
Population, these 2 cases will bring the total number of human avian
H5N1 influenza cases in Egypt to 58, with the number of fatalities
remaining 23.

The HealthMap/ProMED-mail interactive map of Egypt, showing the
location of Cairo (Al Qahirah), is available at
<http://healthmap.org/promed/en?g=360630&v=26.5,29.9,5>. - Mod.CP]

[see also:
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]
........................................cp/mj/jw
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