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

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  • #46
    Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

    RIGHT] Ms. lose her baby ..
    و«الصحة» تنفي تسبب الفيروس في الإجهاض
    And «health» denies causing the virus to abortion [/INDENT]
    كتب- طارق عبد العزيز:
    Books - Tariq Abdul-Aziz:

    أكدت وزارة الصحة مساء أمس الأول -الجمعة- الإصابة البشرية رقم 65 بمرض إنفلونزا الطيور لسيدة تدعي هدية صلاح رجب -25 سنة- من حي المرج بالقاهرة ليرتفع عدد الحالات المصابة خلال العام الجاري إلي 14 حالة إصابة في أقل من أربعة أشهر.
    The Ministry of Health on Wednesday evening - Friday - No. 65 of human infection of bird flu, a woman claims a gift Salah Ragab -25 years - Lawn neighborhood in Cairo, bringing the number of reported cases during the current year to 14 cases in less than four months.

    وأكدالدكتور عبد الرحمن شاهين أن المصابة كانت تعاني من ارتفاع في درجة الحرارة وضيق شديد في التنفس عقب تعرضها لطيور نافقة يشتبه في إصابتها بمرض إنفلونزا الطيور،
    Okdalcanuto and Abdel-Rahman Shaheen, said that the infected were suffering from high fever and respiratory distress after exposure to dead birds suspected of being infected with avian flu, [/LEFT][/RIGHT]
    لافتًا إلي أنه فور الاشتباه في إصابتها بالمرض تم إعطاؤها عقار «التاميفلو» إلا أن حالتها الصحية حرجة مما استلزم وضع المصابة علي جهاز التنفس الصناعي.
    He pointed out that once the suspicion of being infected with the disease were given the drug «Tamiflu» However, the critical condition of health, which necessitated the development of the affected on a ventilator.

    وفي سياق متصل أكد الدكتور عمرو قنديل -رئيس الإدارة المركزية للأمراض المعدية بوزارة الصحة - أن حالة الإصابة الأخيرة تعد أول إصابة لسيدة حامل منذ ظهور المرض في مصر -فبراير عام 2006- مشيرًا إلي أن إصابة تلك السيدة بالالتهاب الرئوي المزدوج وارتفاع درجة حرارتها أديا إلي فقد المريضة لجنينها في الشهر التاسع من الحمل نافيًا أن يكون فيروس إنفلونزا الطيور هو السبب في إجهاضها، لافتًا إلي أن حالة المريضة حرجة للغاية.
    In a related context, Dr. Amr Kandil - Head of Central Department for Infectious Diseases, Ministry of Health - the case of the latter is the first injury to a pregnant woman since the outbreak of bird flu in Egypt - February 2006 - indicating that the injury to her double pneumonia and a high temperature led to the loss of sick of her in the ninth month of pregnancy, denying that the bird flu virus is the cause of a miscarriage, he said, adding that the patient's condition very critical.

    وأشار قنديل إلي أن سبب الإصابات المتتالية التي تشهدها مصر منذ مطلع عام 2009 هو التربية المنزلية للطيور، لافتًا إلي أن 62 حالة «5،95%» من إجمالي الحالات الـ 65 كانت بسببها، موضحًا أنه لاتزال هناك ثلاث حالات تخضع للعلاج المكثف بالمستشفيات نظرًا لخطورتها فيما تماثلت 11 حالة للشفاء من إجمالي الـ 14 حالة التي أصيبت خلال العام الجاري.
    He noted that the reason for Qandil successive infections in Egypt since the beginning of 2009 is home to birds, pointing out that 62 cases «5,95%» of the total 65 cases have been sought, adding that there are still three cases are subject to intensive hospital treatment because of the seriousness of corresponded with 11 cases of recovery of the total of 14 which was the case during the current year.

    وحذر قنديل المواطنين من التعامل المباشر مع الطيور، لافتًا إلي ضرورة منع تربية الطيور المنزلية.
    Qandil warned citizens from dealing directly with the flu, he said, pointing to the need to prevent the breeding of domestic birds.
    http://74.125.91.132/translate_c?hl=...mJC6cEORkJntEg
    CSI:WORLD http://swineflumagazine.blogspot.com/

    treyfish2004@yahoo.com

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    • #47
      Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

      Commentary

      H5N1 Cairo Cases Cause Concern
      Recombinomics Commentary 08:45
      April 18, 2009

      A 25-year-old Egyptian woman has contracted the highly pathogenic bird flu virus after coming into contact with infected birds, the latest case in a growing spate of infections in Egypt, state media said on Friday.

      The woman, from El-Marg on Cairo's outskirts, was in a critical condition on a ventilator after falling ill with a fever on April 11.

      The above comments describe the latest confirmed H5N1 case in Egypt. Earlier cases had been predominantly (10/11) toddlers (age 1 ½ to 2 ½) with mild H5N1 (only one of the 10 had been characterized as “critical”) and all have recovered, as did the first adult (38F).

      Recently however, the cases have been critical (6M, 33F, 25F) and these cases have had a larger gap between disease onset day and the start of oseltamivir treatment. The delay in the first such case (6F) was due in part to a denial if contact with dead or dying poultry. In Egypt, patients with bird flu symptoms and stated contact with dead or dying poultry leads to the immediate start of osletamivir treatment, which is generally prior to test result.

      The above comments that the patient had contact with infected birds suggest that the birds have been H5N1 confirmed, but there has been no confirmed birds reported in the area of the most recent case (see updated map). The closest H5N1 confirmation was the 6M case, raising concerns of a more efficiently transmitted H5N1.

      There is concern that the mild toddler cases is linked to a 3 BP deletion that was in the H5N1 in a Qena cluster in 2007, when there was another series of mild cases (16/17 survived, and 16/17 were children between ages of 3-10). However, some of the older cases infected with H5N1 with the deletion died or survived after being in critical condition.

      Therefore, the release of sequences from the 2009 sequences would be useful. The first two sequences were included in a WHO phylogenetic tree, which suggested that those two mild toddler cases had the deletion.

      Identification of the “infected birds” in northeastern Cairo would also be useful.


      .
      "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

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      • #48
        Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

        Date of report: 17 April 2009
        Governorate: Cairo
        District: El Marg
        Event summary: Woman, age 25, 33 weeks pregnant, began experiencing symptoms of fever and cough on April 6. She was admitted to Ain Shams Hospital on April 11 and received Tamiflu April 16. Infection with avian influenza was confirmed April 17. Her family reported close contact with sick poultry. She experienced IUFD and was reported in very critical condition under artificial ventilation on April 17. The MOHP reported this was the 65th case of highly pathogenic avian influenza in Egypt.
        Source of report: Amr Kandeel, Undersecretary for preventative affairs, MOHP
        Samir Refaie, Head of Epidemiology and Surveillance Unit, MOHP

        Comment


        • #49
          Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

          I wonder why the hospital waited so long to start in with the Tamiflu....

          Comment


          • #50
            Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

            From Roche website -


            "...TAMIFLU is normally not recommended for use during pregnancy or nursing, as the effects on the unborn child or nursing infant are unknown..."


            http://www.tamiflu.com/sideeffects.aspx

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            • #51
              Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

              Originally posted by Commonground View Post
              I wonder why the hospital waited so long to start in with the Tamiflu....
              The 6M was also delayed and also treated at the same hospital. I suspect the delay was linked to a denial of poultry contact.
              This is a teaching hospital in Cairo and must be aware of the policy in Egypt to treat suspect cases immediately.

              Comment


              • #52
                Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

                The Ministry of Health: Affected by the death of Jenin the "guidance" Nothing to do with bird flu
                19/Apr/09

                He said. Abdulrahman Shaheen Media Advisor to the Minister of Health that the death of the Jenin hospital, good citizenship guide Demerdash nothing to do with the bird flu will be a child's blood tests to ascertain the reasons for his death.

                The deal with the infected birds were not infected by eating meat of poultry, as it has not yet been established, the transmission of the virus through eating, especially the degree of cooking more than 100% from this point of view is to eliminate any microbe or virus and the treating physicians have hospital They lack of the virus linked to the fetus.

                In addition to the drugs free from the death of the fetus.

                He noted that the patient reached the hospital and their health was very bad to deal with the treatment of Tamiflu, antibiotics, and placed on a respirator and her condition is stable.

                Al-Messa http://www.algomhuria.net.eg/almessa...l/detail09.asp
                helblidi
                CSI:WORLD http://swineflumagazine.blogspot.com/

                treyfish2004@yahoo.com

                Comment


                • #53
                  Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

                  Originally posted by Florida1 View Post
                  From Roche website -


                  "...TAMIFLU is normally not recommended for use during pregnancy or nursing, as the effects on the unborn child or nursing infant are unknown..."


                  http://www.tamiflu.com/sideeffects.aspx
                  But she WAS treated with Tamiflu BEFORE confirmation.

                  Comment


                  • #54
                    Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

                    <table id="table426" style="direction: ltr; text-align: left;" border="0" cellpadding="0" cellspacing="0" width="100&#37;"><tbody><tr><td align="center">The emergence of the 66 avian influenza in Kafr El-Sheikh
                    </td></tr><tr><td align="center">
                    [20:34 مكة المكرمة ] [19/04/2009]

                    [20:34 Mecca] [19/04/2009]

                    </td></tr><!---------------- select photo ---------------------><tr><td align="center"></td></tr><tr><td>
                    مصر هي البلد الثالث من حيث انتشار إنفلونزا الطيور


                    Egypt is the third country in terms of the spread of avian influenza
                    </td></tr><tr><td>
                    كتب- أحمد المصري:

                    Books - Ahmed the Egyptian:

                    </td></tr><tr><td>


                    أعلنت مديرية الصحة بمحافظة كفر الشيخ ظهور الحالة 66 المصابة بمرض إنفلونزا الطيور على مستوى الجمهورية والحالة الثانية بالمحافظة.

                    Department of Health announced the province of Kafr el-Sheikh the emergence of the 66 infected with avian influenza at the level of the Republic and the second case the county.


                    وأوضحت المديرية أن الطفلة منار إبراهيم زيدان سعد (18 شهرًا) من قرية شباس عمير مركز قلين تأكد إصابتها بالمرض، وأنها تتلقى العلاج بمستشفى منشية البكري بالقاهرة بدءًا من عصر اليوم.

                    The Directorate girl Manar Saad Ibrahim Zidan (18 months) from the village of Chaabas Amir Kulain confirmed the status of her disease, and that they receive hospital treatment, the capital Cairo, starting from this afternoon.


                    ومنذ عام 2003م أصاب فيروس (H5N1) 412 شخصًا على الأقل في 15 دولة، وتسبب في وفاة 254 منهم، كما أدَّى إلى نفوق أو إعدام أكثر من 300 مليون طائر في 61 دولة في آسيا والشرق الأوسط وإفريقيا وأوروبا.

                    Since the 2003 virus (H5N1) 412 people, at least in 15 countries, and caused the deaths of 254 of them, also led to the deaths or culling of more than 300 million birds in 61 countries in Asia and the Middle East, Africa and Europe.


                    وتُوفي نحو 23 مصريًّا بعد الإصابة بالفيروس، معظمهم خالطوا طيورًا منزلية مصابة في بلدٍ تعتمد فيه خمسة ملايين أسرة على تربية الدواجن في المنازل كمصدرٍ مهم للغذاء والدخل.

                    He died about 23 Egyptians after infection with HIV, most of whom had contact with infected domestic birds in a country adopts the five million families to raise poultry at home as an important source of food and income.


                    ونادرًا ما ينتقل فيروس (H5N1) بين إنسانٍ وآخر؛ لكن الخبراء يخشون من أنه قد يتحور إلى شكلٍ يمكن أن ينتقل بسهولةٍ بين البشر، ويصبح وباءً قد يقتل ملايين الأشخاص.

                    Rarely transmitted the virus (H5N1) between the man and another; but experts fear it could mutate into a form that passes easily between humans, a pandemic that could kill millions of people.

                    وقالت منظمة الصحة العالمية هذا الشهر إنها تشعر بالقلق من أن بعضَ المصريين ربما يحملون الفيروس المسبب للإصابة بأنفلونزا الطيور دون أن تظهر عليهم الأعراض، وهو ما قد يزيد من فرصة تحور الفيروس إلى سلالةٍ تنتشر.

                    The World Health Organization said this month that she was concerned that some of the Egyptians may have the virus that causes bird flu without showing symptoms, which may increase the chance the virus will mutate into a strain spread.






                    </td></tr></tbody></table>
                    Last edited by sharon sanders; April 19, 2009, 02:58 PM. Reason: added link, Niman edited to hi-light town

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                    • #55
                      Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

                      Cluster in Kullin

                      http://maps.google.com/maps/ms?ie=UT...,0.499878&z=11

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                      • #56
                        Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

                        Note that 33F developed symptoms April 7, raising concerns that the toddler is her child and she infected the toddler. No mention of toddler in WHO update, but WHP update on Beheiura cluster failed to state that they were cousins and next door neighbors

                        WHO report on 33F:

                        17 April 2009 -- </SPAN>The Ministry of Health of Egypt has reported a new confirmed human case of avian influenza . The case is a 33 year old female from Kellin district, Kfr El Sheikh Governorate. Her symptoms began on 7 April and she was hospitalized at Kfr El Sheikh Fever Hospital on 15 April where she was started on oseltamivir the same day (15 April). She is in a critical condition.
                        Infection with H5N1 avian influenza was confirmed by the Egyptian Central Public Health Laboratory on 15 April.
                        Investigations into the source of her infection indicate a history of close contact with dead and sick poultry prior to becoming ill.
                        Of the 64 cases confirmed to date in Egypt, 23 have been fatal.

                        Comment


                        • #57
                          Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

                          In less than 30 hours ..
                          الإعلان عن الإصابة 66 بأنفلونزا الطيور
                          The announcement of the 66 bird flu infection


                          الأحد، 19 أبريل 2009 - 21:28
                          Sunday, April 19, 2009 - 21:28
                          الإصابة رقم 66 هى ثالث حالة على التوالى فى أقل من ثلاثة أيام
                          Injury is the third No. 66, respectively, in the case of less than three days
                          كتبت أميرة عبد السلام
                          Written by Amira Abdel-Salam
                          <!-- AddThis Button BEGIN --><script type="text/javascript">var addthis_pub="tonyawad";</script><script type="text/javascript" src="http://s7.addthis.com/js/200/addthis_widget.js"></script> <!-- AddThis Button END -->
                          تأكدت مساء اليوم الأحد، الإصابة البشرية رقم 66 بمرض أنفلونزا الطيور لطفلة تدعى منار إبراهيم زيدان سعد، تبلغ من العمر سنة ونصف من قرية "شباص عمير" بمركز قلين بمحافظة كفر الشيخ، حسب تصريح الدكتور عبد الرحمن شاهين المتحدث الرسمى لوزارة الصحة.
                          Confirmed on Sunday evening, no human infection from bird flu, 66 to baby girl named Manar Saad Ibrahim Zidan, the old year and a half from the village, "Amir Chaabas" status Kulain province of Kafr el-Sheikh, according to a statement, Dr. Abdel Rahman Shahin, official spokesman of the Ministry of Health.

                          قال شاهين، إن بداية ظهور الأعراض على المصابة كانت يوم 15 من الشهر الجارى، دخلت على إثرها أمس السبت، مستشفى حميات كفر الشيخ وهى تعانى من ارتفاع فى درجة الحرارة وسعال عقب تعرضها لطيور نافقة يشتبه فى إصابتها بمرض أنفلونزا الطيور، لافتاً أنه فور الاشتباه فى إصابتها بالمرض تم إعطاؤها عقار التاميفلو وحالتها المرضية مستقرة.
                          Sahin said that the onset of symptoms were infected on 15 this month, entered on their impact on Saturday, Kafr El-Sheikh hospital fevers with a high temperature and cough after exposure to dead birds suspected of being infected with bird flu, he said that immediately after the suspected infected with the disease were given the drug Tamiflu, a stable and satisfactory condition.

                          الإعلان الإيجابى لإصابة الحالة رقم 66، والتى تعتبر ثالث حالة على التوالى فى أقل من ثلاثة أيام يفتح الباب من جديد حول مدى خطورة انتشار وباء أنفلونزا الطيور فى مصر وجدوى العلاج الحالى للمرض.
                          A positive injury case No. 66, which is the third in a row in less than three days open the door of the seriousness of a new outbreak of bird flu in Egypt and the feasibility of this treatment of the disease.
                          http://74.125.91.132/translate_c?hl=en&langpair=ar%7Cen&u=http://www.alyoum7.com/News.asp%3FNewsID%3D90848%26SecID%3D97%26IssueID%3 D49&prev=/translate_s%3Fhl%3Den%26q%3D%2Bbird%2Bflu%2B%2Bapr il%2B6%2B2009%26tq%3D%25D8%25A7%25D9%2586%25D9%258 1%25D9%2584%25D9%2588%25D9%2586%25D8%25B2%25D8%25A 7%2B%25D8%25A7%25D9%2584%25D8%25B7%25D9%258A%25D9% 2588%25D8%25B1%2B6%2B%25D8%25A3%25D8%25A8%25D8%25B 1%25D9%258A%25D9%2584%2B2009%26sl%3Den%26tl%3Dar%2 6start%3D40&usg=ALkJrhjUq-IjZU25Nf2kXMcWmP7iOfXFzg
                          CSI:WORLD http://swineflumagazine.blogspot.com/

                          treyfish2004@yahoo.com

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                          • #58
                            Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

                            Commentary

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

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                            • #59
                              Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

                              Kellin close up

                              http://maps.google.com/maps/ms?ie=UT...,0.031242&z=15

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                              • #60
                                Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +

                                Sunday, April 19, 2009

                                Another H5N1 Human Infection case in less than 72 hours

                                This is not good.

                                The ministry of health has announced today that year and half Manar Ibrahim Zidan is No.66 in the H5N1 human infection roll in Egypt. This is so fast , it is less than 48 hours from the announcement of Case No.65 !!

                                Baby Manar is from a village in Kafr El-Sheikh ,Delta, there were several case from Kafr El-Sheikh this year, I recall case No.64 Mrs. Sadia is from Kafr El-Sheikh too . I hope someone will make a map like the one posted last year with the infections locations and compared it with last year’s map. I think Al-Fayoum,Bahaira and Kafr El-Sheikh are the top governorates with the highest H5N1 infection rate.

                                It seems that we are going to back to babies with H5N1 after all. Anyhow Manar has entered the hospital on the 15th of April and she was given Tamflu and thank God her condition is stable .

                                http://egyptianchronicles.blogspot.com/
                                “Addressing chronic disease is an issue of human rights – that must be our call to arms"
                                Richard Horton, Editor-in-Chief The Lancet

                                ~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~

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