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Cairo's First Human Bird Flu Infection Confirmed [died]
I haven't been following this for years like some folks have, but did MSM get excited when the first cases occurred in Jakarta?
It's useful to understand that many of the people reporting do not know as much as we do about influenza and tend to take whatever the country government health authority or WHO dishes out to them. There is just a handful of reporters around the world who know the score.
Actually, I think the only reason the human cases in Indonesia were acknowledged was because they were cluster in a Jakarta suburb followed by Jakarta itself (and both clusters were non-farm - a govenment worker followed by an airline emplyee (and family members in both clusters).
Although other media reports have described the patient as "stable", a number of prior fatal H5N1 cases were initially described as "stable".
Similarly, earlier fatal cases this season were treated with Tamiflu, but the patients were not "recovering" and they died following treatment.
Avian influenza - situation in Egypt - update 14 10 April 2007
The Egyptian Ministry of Health and Population has announced two new human cases of avian influenza A(H5N1) virus infection. The cases have been confirmed by the Egyptian Central Public Health Laboratory and by the US Naval Medical Research Unit No.3 (NAMRU-3).
The first case, a 2-year-old female from Menia Governorate, developed symptoms on 3 April and was admitted to hospital the following day. She is currently in a stable condition. Initial investigations into the source of her infection indicate recent contact with backyard poultry. The second case is a 15-year-old female from Cairo Governorate. She developed symptoms on 30 March and was admitted to hospital on 5 April where she remains in a critical condition.
Of the 34 cases confirmed to date in Egypt, 13 have been fatal.
توفيت أمس الطفلة مارينا ميخائيل(15 سنة), إثر إصابتها بمرض إنفلونزا الطيور, ليرتفع عدد المتوفين بالمرض إلي14 شخصا. وكانت الطفلة قد دخلت مستشفي الصدر بالعباسية الخميس الماضي أثر ارتفاع في درجة حرارتها عقب اختلاطها بطيور يشتبه في إصابتها بمرض إنفلونزا الطيور.
She died yesterday girl Marina Mikhail (15 years), following the presence of bird flu, raising the number of deaths the disease to 14 people. The girl had entered al-Sadr Abbassiya hospital last Thursday following a rise in the temperature following the sinking Batteur suspected in the presence of avian influenza.
Yes, I also had reliable sources. The patient had been in critical condition, wire service reports not withstanding.
Oh yes -- I trust you and your source(s) in Egypt, Doc! Been reliable so far....
What's still in the back of my mind, though, is that there could have been contact between this girl and family/friends in the south of Egypt. I'm not saying there was contact -- or even that my scenario is very likely -- just that the possibility is there given she was a Copt and it was Easter week.
Wouldn't want the 'mild' strain found in so many cases in the south mixing with the more deadly strain going around Egypt -- I'm presuming that would be a bad thing....
...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes
CAIRO, Egypt: A teenage girl has died of bird flu, apparently contracting the disease merely by buying a chicken at a market, a World Health Organization spokesman said Wednesday.
The death of Mariana Kameel Michael, 15, brings to 14 the number of Egyptians to have succumbed to the H5N1 virus since it first appeared in Egypt last year.
Most of the fatalities have been women or girls whose families were raising poultry in the backyards, and having daily contact with chicken or turkeys. But Mariana's family did not, said WHO spokesman Ibrahim el-Kardani.
She is believed to have contracted the virus three weeks ago when she bought a chicken at a market in Shoubra, Cairo, while shopping for her Christian family's preparations for the Easter holidays, said el-Kardani.
"She thought she wasn't exposed to chicken," el-Kardani said.
Egypt is one of the countries most affected by bird flu outside Asia, where the outbreak began. The country lies on a main route for migratory birds, which are believed to have brought the disease from Asia.
Health officials worry that the bird flu virus could mutate into a form that is easily spread from person to person, sparking a pandemic.
Last edited by Susie; April 11, 2007, 04:04 AM.
Reason: add url
Case number 34
Reported on 8 April 2007This case is a female adolescent, 15 years old from Cairo Governorate. Date of onset of illness was on March 30. She was hospitalized into Abbasya Chest hospital on the 5<sup>th</sup> of April and the sample was taken on the 7<sup>th</sup>. It was confirmed positive for H5N1 in both MOH (7 April) and NAMRU-3 (8 April) laboratories. At the beginning, the patient denied exposure to sick poultry from the market one week before the onset of symptoms.
She died on April 10 at 7:30 pm at Abbasya Chest Hospital due to respiratory failure resulted from bi-lateral pneumonia.
Case number 33
Reported on 5 April 2007
This case is a female child, 2 years old, from Menia Governorate. It was confirmed positive for H5N1 in CPHL on the 5<sup>th</sup> of April and in NAMRU-3 on the 6<sup>th</sup>. The date of onset of symptoms was April 3 and she was admitted to the hospital on April 4 where they treated her with Tamiflu. The child had a previous history of contact with backyard poultry. She is in good health condition. This brings up the total number of confirmed human cases of avian influenza in Egypt to 34 with 14 deaths.
Oh yes -- I trust you and your source(s) in Egypt, Doc! Been reliable so far....
What's still in the back of my mind, though, is that there could have been contact between this girl and family/friends in the south of Egypt. I'm not saying there was contact -- or even that my scenario is very likely -- just that the possibility is there given she was a Copt and it was Easter week.
Wouldn't want the 'mild' strain found in so many cases in the south mixing with the more deadly strain going around Egypt -- I'm presuming that would be a bad thing....
My understanding was that she was in critical condition and did not have contact with poultry. The reports today are trying to link a chicken bought 3 weeks ago (this is sounding like another blood pudding epi report) and now wire reoports have acknowledged her death.
The story is in the sequence and the cases to the south have either had the 3 BP deletion or the Mongolian cleavage site. The severe (fatal) cases to the north have had M230I (as have birds in the north).
The sequence of this case will be of interest. Stay tuned.
Re: Cairo's First Human Bird Flu Infection Confirmed [died]
<TABLE cellSpacing=0 cellPadding=0 width=533 border=0><TBODY><TR><TD class=mainnewstitle id=withoutphoto vAlign=center colSpan=3>Teenager dies of bird flu in Egypt, bringing nation's toll to 14
CAIRO, April 11 (RIA Novosti) - A 15-year-old girl has died of bird flu in Egypt, bringing the Arab country's death toll to 14, the Egyptian Health Ministry said Wednesday.
The girl, identified as Marianna Kameel Mikhail, died Tuesday night at a hospital in the capital, Cairo. She was admitted with fever last week, and tested positive for the H5N1 strain of bird flu.
Doctors say the girl had direct contact with farm poultry before being hospitalized. Egypt is among the countries worst affected by bird flu, with 34 human cases detected there in the past year alone. Fourteen of those infected have died, with twenty others surviving.
CAIRO, April 11 (RIA Novosti) - A 15-year-old girl has died of bird flu in Egypt, bringing the Arab country's death toll to 14, the Egyptian Health Ministry said Wednesday. The girl, identified as Marianna Kameel Mikhail, died Tuesday...
Re: Cairo's First Human Bird Flu Infection Confirmed [died]
- Death 10th April 2007
- Hospital admission 5th April 2007
- Symptoms Onset 30th March 2007
- Bought poultry around 23rd March 2007
Time lapsed to date, 11th April 2007: 20 days - three weeks. It works out as an incubation period of roughly 7 days, an illness interval of 7 days at home, and a time to death from hospital admission of 6 days. Are these time periods unusual?
Re: Cairo's First Human Bird Flu Infection Confirmed [died]
Egyptian girl dies of bird flu, 14th death
11 Apr 2007 10:48:58 GMT
Source: Reuters More (Adds comments on why treatment failed)
CAIRO, April 11 (Reuters) - A 15-year-old Egyptian girl has died in hospital of the H5N1 bird flu virus, bringing the number of deaths from the disease in Egypt to 14, a health ministry official said on Wednesday.
Marianna Kameel Mikhail, who was admitted to hospital in Cairo on Thursday, died of respiratory failure on Tuesday evening despite treatment with the antiviral Tamiflu and being placed on a respirator, a ministry statement said.
Amr Kandeel, director of communicable diseases at the Ministry of Health, said the treatment failed because the girl did not enter hospital until a week to 10 days after the symptoms started.
As in several other fatal cases in Egypt, the patient and her relatives denied she had had any recent contact with domestic poultry, Kandeel added.
Out of a total of 34 humans who have caught bird flu in Egypt, 14 have died and 19 have recovered. A two-year-old girl from central Egypt is under treatment and Kandeel said she was in a good condition.
The health ministry statement said none of Mikhail's family were found to have bird flu.
The disease hit Egypt in February 2006 and did extensive damage to the poultry industry and the economy as a whole. But the government still finds it hard to enforce restrictions on the movement and sale of live poultry.
Egypt has the highest number of confirmed human bird flu cases outside Asia.
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