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Summary of 6 H5N1 confirmed Egyptian cases (includes 1 in Jordan)

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  • Summary of 6 H5N1 confirmed Egyptian cases (includes 1 in Jordan)

    The info here (and in the next two posts) has been gleaned from various news sources collected by a number of people -- a great deal of it is from the Egyptian daily, Al Wafd. Yesterday (on the 1st), the leader of the Al Wafd party and some of his supporters were arrested:



    Today, the only news available on the Al Wafd site are some headlines and photos related to the arrest/raid on the front page. The rest of the newspaper's pages are empty. Al Wafd has been the only Egyptian paper online that has reported bf news to any extent (i.e. beyond gov't press releases). It remains to be seen if they will be able to continue to do so.

    Summary of 6 H5N1 confirmed Egyptian cases (includes 1 in Jordan):

    1) Amal Mohammed Ismail (30/35F) - d. 3/17
    2) Mohammed Bahaaeddin Abdel-Menem (28M) – recov’d, discharged weekend of 3/26
    3) Fatima Mohammed Yussef (30F) - d. 3/27
    4) Mohamed Mahmoud Ghobashi (17M) - recov’d, discharged weekend of 3/26
    5) Shaimaa Khairi el-Desoqi (18F) - still in Cairo's Abbassiya Hospital
    6) Abdul Fattah Asaad Mabrouk (31M) – Egyptian national confirmed by Jordanian gov’t

    WHO: "At present, the Ministry of Health has confirmed all five cases (1-5) based on results from the NAMRU-3 laboratory. Samples from these cases have been sent to a WHO collaborating laboratory in the United Kingdom for diagnostic verification.

    "Health authorities have screened more than 350 people who were contacts of these patients or had a recent history of exposure to diseased birds. All test results have been negative for H5N1 infection."

    *****

    1) Amal Mohammed Ismail (30/35F) from Nawa village, Al Qalyubiyah governorate [40 km north of Cairo], died on March 17. She reportedly raised poultry at her home and some of her birds also died. Her symptoms included high fever and pulmonary inflammation.

    There are conflicting reports as to when she fell ill:

    i) She was admitted to hospital in the governorate's capital, Qalyoub, two weeks before she died, and was subsequently transferred to the Cairo Fevers Hospital where she died on Friday, March 17;

    ii) She was taken ill on Wednesday, March 15th and died on Friday morning, March 17;

    iii) According to the WHO, "She developed symptoms in early March following close contact with diseased chickens, ducks, and a turkey in the household flock. She was hospitalized on 16 March and died the following day."

    According to a UN report, her immediate family members tested negative for the virus but were given Tamiflu as a precaution.

    *****

    2) Mohammed Bahaaeddin Abdel-Menem (28/32M) from the village of Noqbas also in Al Qalyubiyah governorate. Reportedly owns a poultry farm where 7000 chickens died. He assisted in culling/disposing of infected chickens. Exhibited symptoms since Monday, 03/13 and sought medical help on Thursday, March 16. He presented with a high fever (40 degrees C).

    According to the WHO, he developed symptoms on March 16 and was hospitalized [hospital?] that day. He was discharged over the weekend of March 26th.

    *****

    3) Fatima Mohammed Yussef (30F) from Khanka village also in Al Qalyubiyah died on March 27. She was reportedly admitted to ICU on 3/20. According to authorities, she had continued to work with/slaughter fowl until two weeks before. According to one report, she had culled birds 15 days before she was admitted to hospital [Xinhua].

    Her death was, apparently, unexpected -- she was improving, but took a turn for the worse shortly before dying. She reportedly went to the hospital 10 days after she first experienced symptoms. The WHO reports that she developed symptoms on March 12 "following the home slaughter of chickens" -- was hospitalized on March 16 and died on March 27.

    Al Wafd newspaper* (on the 30th) reports that the governor of Al Qalyubiyah stated (machine-translated from Arabic): "Fatma's state that was dead inside Al Abasia's [Cairo's Abbassiya Hospital] chest hospital resulted from the purchase of two chickens one day 10 March and after 4 days they felt the fatigue and believed that the reason is the carrying and they went to the village doctor then an ordinary medicine gave them. And after two days she went to Al Sadr's hospital by Al Abasia and its state was deteriorating and the doctors did not succeed in its treatment."

    *****

    4) Mohammed Mahmud Abdul Ghani Ghabash (17M) whose father had an outbreak of the disease on his chicken farm [3000 chickens died] in Al Gharbiyah Governorate on Saturday and Sunday [March 18-19]. Admitted to hospital in Tanta. [One of 4 people reportedly admitted to Tanta?]

    The WHO says he developed symptoms on March 18 and was admitted to hospital on March 19. He was also discharged over the weekend of March 26th.

    *****

    5) Shaimaa Khairi el-Desoqi (18F) from Kafr el-Sheikh [Kafr ash Shaykh] Governorate (borders Al-Gharbiyah governorate) came into contact with dead birds, started to show bf symptoms on Thursday [March 23], including high temperature, sore throat and muscle ache. Members of her family were also being tested. She is the fifth confirmed bird flu case in the country. The WHO said she developed symptoms "following the slaughter of sick backyard poultry" and was hospitalized on March 25.

    On March 28th she was reported as being in Cairo's Abbassiya Hospital. I believe she is on a respirator.

    Note that on March 21 a suspected bf case also from Kafr ash Shaykh --"Fairness Gomaah the butcher"(?) (31F) – died.

    *****

    6) Also, a sixth Egyptian person announced by Jordanian gov’t (03/31) as having H5N1:

    Abdul Fattah Asaad Mabrouk (31M) an Egyptian national living in Jordan who arrived back to Jordan from Al-Jaaferah [Al Gafra] village in Al-Fayyum [Al-Fayyoum] two days ago [Wed, March 29].

    He started having symptoms – fever and headache – between March 25 and 27 aboard a ship that brought him to Jordan. He went to the Emergency Room on Thursday, March 27, where he presented with “a redness in the eyes and a difficulty in the swallowing and the respiration and a rise in the temperature and a sharp cough.”

    He was reportedly infected with the disease as a result of close interaction with birds -- he and other members of his family culled several chickens when many birds in his village in Egypt perished. Note that a reported 13 suspected bf patients have been hospitalized for tests/observation in Al Fayyum Governorate between March 20 and 26 [see list of suspected patients below].

    He is hospitalized in Al Karak in Jordan. Note also that a second suspected bf patient (a Jordanian) is being treated in the same hospital (announced in the Jordanian press April 1). While there have been no official cases of bird flu in birds in Al Karak, a number of poultry did die in that region toward the end of February. The reason given, at the time, was that the poultry died due to “respiratory inflammations.”
    ...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes

  • #2
    Re: Summary of 6 H5N1 confirmed Egyptian cases (includes 1 in Jordan)

    Theresa42 - Thanks for the summary.

    Comment


    • #3
      Timeline of events

      3/17 - Egyptian woman, Amal Mohammed Ismail (30/35F), dies of bf.


      3/19 - Second human case of bf, Mohammed Bahaaeddin Abdel-Menem (28/32M), announced by Egyptian government.


      3/20 - Third human case of bf, Fatima Mohammed Yussef (30F), announced by Egyptian government.

      According to Al Wafd newspaper*, 3 new suspected bf cases in Cairo, Al Qalyubiyah and Al Fayyum - tests to be done.

      Nasser Kamel, spokesman for the gov't anti-bird flu committe says 121 people who had been in contact with 12 new bird outbreaks in eight provinces, including Cairo, had tested negative for the infection.


      3/21 - Fourth human case of bf, Mohammed Mahmud Abdul Ghani Ghabash (17M), announced by Egyptian government.

      Additionally, 6 new suspected bf cases

      Al Wafd reports that the media is prevented from entering Noqbas village in Al Qalyubiya -- that is where Mohammed Bahaaeddin Abdel-Menem (second confirmed bf case) is from. Also, they report that journalists are to be prevented from interviewing suspected bf cases in hospital. The paper reports that, "the spokesman justified the decision by the fear for the journalists of the injury by the dangerous viruses!!" [their emphasis]

      Also, the Banha Fever Hospital manager "confirmed the stability of the child Mohamed state that declared his injury with the virus and confirmed that he will leave the hospital next Wednesday." [Possibly Mohamed Mahmoud Ghobashi, but I'm not sure.]

      Al Bhira [Al Buhayrah Governorate] declared a state of emergency.

      The Ministry of Health says that since February, 1500 people have been hospitalized with possible bird flu but to date all have tested negative.


      3/22 - Al Wafd: A source in the Ministry of Health says reports a suspected bird flu case -- "Fairness Gomaah the butcher"(?) (31F) -- died the day before (3/21) in Kafr Al-Sheikh.

      A state of emergency was declared in Kafr Al-Sheikh hospitals.

      From an article release by the UN's IRIN: "Meanwhile, there are four additional suspected cases. [?] The results of their tests are due to be announced tonight."

      Also, in Ash Sharqiyah [capital Zagazig/Zaqaziq], 150 samples tested negative. Test results were pending from Bilbeis and Diarb Nigm [Diarb Negm] in Ash Sharqiyah and Al-Hussainia in Al-Jiza (Giza) [these tests showed negative on 3/24].


      3/24 - 24 new suspected bf cases - 7 patients discharged

      Mohamed Mahmoud Ghobashi (17 year old) in Tanta Fevers Hosp improves. Also, the ministerial committee for fighting the bird flu declared the stability of the three cases in Cairo's Abbassiya Hospital as well as the Banha and Tanta Fevers Hospitals.


      3/25 - Mohamed Mahmoud Ghobashi scheduled to leave hospital on this day.

      Minister of Health declares that only four people in Egypt have been infected with/tested positive for H5N1.

      Health improved for three Egyptians infected with H5N1.


      3/26 - 14 new suspected bf cases states - 5 patients discharged.

      Negative results from 222 samples from individuals "mixing with dead birds or they work at farms in it injuries appeared between the birds or to the persons who have honors [symptoms?] similar to the disease."

      Mohammed Bahaaeddin Abdel-Menem and Mohamed Mahmoud Ghobashi discharged over the weekend. One woman -- Fatima Mohammed Yussef -- is still in ICU but is in stable condition.

      Bird flu confirmed on two farms in Kafr al-Sheikh governorate.


      3/27 - Fatima Mohammed Yussef died.

      Egypt reports new suspected human bird flu case, Shaimaa Khairi el-Desoqi (18F) from Kafr el-Sheikh [Kafr ash Shaykh] Governorate.

      The last suspected case of bf was discharged from Alexandria Fever Hospital -- a total of 6 cases (they were given Tamiflu).


      3/28 - 29 new suspected bf cases

      Shaimaa Khairi Al Desouki (18 year old from Kafr el-Sheikh) in Cairo's Abbassiya Hospital.

      The condition of two bf suspects in Kinayat City deteriorates.

      95 samples from people who had contact with birds in Giza and Kafr al-Sheikh being sampled.

      Zaqaziq [Zagazig] Fevers Hospital declares state of emergency.


      3/29 - 32 new suspected bf cases

      "Large demonstrations erupted in front of San El Hajar Hospital the villager the protest against the attempt of the officials in the Health Department by the western of the transfer of the respirator in the hospital to the hospital of El-Mahalla El-Kubra Fevers despite that it is used in the operations room that serves more than 130 thousand persons in the village besides a sick of 12 village belonging to it." The police were brought in and a couple of people detained. They were later released.

      Damietta Fevers Hospital declares state of emergency.

      Fatima Mohammed Yussef's family criticize the gov't for "non transparency because it did not inform them of Fatma's state truth."


      3/30 - 6 million poultry culled totally in Al Qalyubiyah governorate alone. The governor of Al Qalyubiyah(?) says that 40,000 pigs underwent "examinations" and were found not to be infected with H5N1.

      Al Wafd reports that people in Kafr El Sheikh are very concerned (panicking) about bird flu since 18 year-old Shaimaa Khairi Al Desouki was confirmed by the Egyptian government as having H5N1 AND because a suspected bf patient from the same governorate died on March 21.


      3/31 - A sixth Egyptian bf case is announced by the Jordanian government. Abdul Fattah Asaad Mabrouk (31M) an Egyptian national living in Jordan from Al-Jaaferah [Al Gafra] village in Al-Fayyum [Al-Fayyoum] in Egypt tests positive for H5N1.

      A veterinarian, Salah Ahmed Al Sayed, in Suez is admitted to the Fevers Hospital after ?the suspicion in its injury with the killing influenza and the appearance of the disease symptoms.?

      Tanta zoo closes to the public. An ostrich and a large number of sparrow have died there.
      ...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes

      Comment


      • #4
        List of suspected/confirmed bf patients by location

        List of suspected/confirmed bf patients by location. (So, I count somewhere between 153-157 just here):

        - Cairo (5) -
        Cairo's Abbassiya Hospital:
        3/15? - Amal Mohammed Ismail (30/35F) - H5N1 confirmed - d. 3/17
        3/16? - Fatima Mohammed Yussef (30F) - H5N1 confirmed - d. 3/27
        3/20 - Ali Atiya Gharib (29M) owner of a poultry shop -- some of his chickens died and he exhibited some flu-like symptoms.
        3/22 - Fatma Khalil Ghmri (?F)
        3/25 or 3/28 - Shaimaa Khairi el-Desoqi (18F) - H5N1 confirmed


        - Al Fayyum (13) -
        Al Fayyum Fevers Hospital:
        3/20 - 11 year old child -- Al Fayyum Fevers Hospital(?)
        3/21 - 4 suspected bf cases admitted (including 11 year old above?)
        3/26 - 8 suspected bf cases admitted - had contact with (sick?) birds

        Al Karak, Jordan:
        3/31 - Abdul Fattah Asaad Mabrouk (31M) from Al-Jaaferah [Al Gafra] village – H5N1 confirmed by Jordanian gov’t


        - Al Qalyubiah (13) -
        3/13? - Mohammed Bahaaeddin Abdel-Menem (28/32M) from the village of Noqbas – H5N1 confirmed

        Banha Fevers Hospital:
        3/20 - Khaled Atris Dawoud (4/5M?)
        3/20 - Ibrahim ? (27M)
        3/20 - Rana Ramadan (7?)
        3/24 - 10 suspected bf cases admitted for observation -- tests being done. The individuals came from Quasna in Al Minufiyah Governorate, Abu Zahra in Banha (city?), Tokh in Al Qalyubiyah and [the money order Arabs in the bridges?].


        - Kafr ash Shaykh (1) -
        3/21 - "Fairness Gomaah the butcher"(?) (31F) - d. 3/21


        - Al Gharbiyah (22) -
        Tanta Fevers Hospital:
        3/19 - Mohammed Mahmud Abdul Ghani Ghabash (17M) - H5N1 confirmed - recovered, discharged weekend of 3/26
        3/21 - 4 suspected bf cases admitted
        3/24 - 7 suspected bf cases discharged/tested negative -- including an infant and its mother (a bird merchant)
        3/24 - 8 suspected bf cases admitted

        El-Mahalla El-Kubra Fevers Hospital:
        3/29 - 6 suspected bf cases admitted with bf-like symptoms


        - Al Buhayrah [Al Bhira] (23-27?) -
        Kafr Al-Dawar Hospital(?) and Damanhur Fevers Hospital:
        3/21 - 7 year old ? (Kafr Al-D hosp)
        3/21 - Ibrahim Zaki (29M)
        3/21 - Abd Al-Aziz (50M)
        3/21 - Kamal Hanafi (25M?)
        3/21 - Abdou Hanafi (10?)
        3/21 - Mohamed Said (39M)

        Alexandria Fevers Hospital:
        3/21 - Zeinab Nasr Sayed (45M?) reportedly "injured with late symptoms and have been transferred to Alexandria Fevers[Hospital]" from Kafr Al-Dawar or Damahur.
        3/23 - 4 suspected bf cases "rushed" to hospital in Alexandria.
        3/24 - 10 suspected bf cases admitted. Tests show 6 were not infected; results waiting on other 4 (same 4 as on 3/23?).
        3/27 - The last suspected bf discharged/tested negative -- out of a total of 6 cases

        Al Buhayrah [Al Bhira] District Fevers Hospital:
        3/26 - Aziza Mahmoud Ismail (F)
        3/26 - Al Sayed Shousha's permission(?) (F)
        3/26 - Soad Al Morsi Al Bastawisi (F)
        3/26 - Amal Abdul Latif Haggag (F)
        3/26 - Ragab Salem Toaima
        3/26 - Mohamed Abdul Hamid (child)


        - Al Minya (1) -
        Beni Mazar Fevers Hospital:
        3/22 - Aziz Mohamed (30M)


        - Qina (1) -
        Qina Fevers Hospital:
        3/22 - Mohamed Hassan


        - Suhaj (2) -
        University Hospital in Suhaj:
        3/22 - Omar Khaled Mostafa (3M) - national committee announced the isolation
        3/22 - Kholoud Mohamed Abdul Alim (11-month male) - national committee announced the isolation


        - Al Minufiyah (4) -
        Shibin Al Kawm:
        3/22 - 4 suspected bf cases admitted


        - Al Isma'iliyah (3) -
        3/22 - 3 poultry workers tested for bf


        - Ash Sharqiyah (15) -
        Zaqaziq [Zagazig] Fevers Hospital:
        3/28 - 15 suspected bf cases admitted - hospital declares state of emergency.

        3/28 - condition of 2 bf suspects in Kinayat City [Ash Sharqiyah?] deteriorates


        - Bani Suwayf (12) -
        Bani Suwayf Fevers Hospital:
        3/28 - 12 suspected bf cases altogether(?). 4 suspected bf cases from the Al Waseti and Ahnasia districts transferred to the Fevers Hospital.


        - Ad Daqahliyah (2) -
        Al Sadr Hospital:
        3/28 - Abdullah Hani Mohamed (5M) from El Senbelaween/As Sinbillawayn town.
        3/28 - Taheyya Ibrahim Abdul Gawaad (?) [Al Sadr Hospital?]


        - Dimyat (20) -
        Damietta Fevers Hospital:
        3/29 - 20 suspected bf cases admitted -- people having had contact with infected(?) poultry


        - Asyut (6) -
        Asyut Fevers Hospital:
        3/29 - 6th suspected bf case admitted: Salwa Sayed Bakhit (F) -- bf-like symptoms and contact with (infected?) poultry


        - Location unknown (10) -
        3/23 - Dina Mohamed - discharged/tested neg
        3/23 - Azza Abdul Rahman - discharged/tested neg
        3/23 - Azza Abdul Shakour - discharged/tested neg
        3/23 - Mohamed "emotions a praised" - discharged/tested neg
        3/23 - Aida "emotions a praised" - discharged/tested neg
        3/26 - 5 suspected bf cases discharged/tested neg [discharged from Al Buhayrah and/or Al Fayyum?]
        ...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes

        Comment


        • #5
          Re: Summary of 6 H5N1 confirmed Egyptian cases (includes 1 in Jordan)

          Nice job Theresa!

          Comment

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