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Egypt - Confirmed H5N1 in Humans April 15, 2009 - May 18, 2009
Hospitalized Brother of Kellin Toddler Raises Concerns in Egypt
Recombinomics Commentary 21:56
April 21, 2009
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.
cases were 5 children and 3 women
The above translation describes the hospitalization of the brother of the 66th confirmed H5N1 case in Egypt. The siblings live in the village of Shabas Emier, which is in the Kellin district (see updated map). The 64th confirmed case also lives in the Kellin district, raising the possibility of direct contact between these two cases, which were admitted to the Kafr El Sheikh hospital 8 days apart.
However, the infections of two cases in the same small district signal a more efficient H5N1 transmission, increasing the likelihood that the brother is also infected. Similarly, the clustering of suspect cases in the same hospital increases concerns that some or all of these cases will test positive, like 99% of the suspect cases in Egypt.
These suspect cases are in addition to the 67th confirmed case which was announced today. That case was in Sohag, where there have been no confirmed H5N1 poultry cases announced this year.
The almost daily reports of confirmed H5N1 cases, as well as the potential expansion of the Kellin clusters, continue to increase concerns.
Many of these new cases are likely linked to the deletion of position 129, S129del.
Release of the sequences from the human cases this season is long overdue.
.
"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
Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +
Date of report: 21 April 2009 Governorate: Kafr el Sheikh District: Kellin Event summary: Girl, age 1?, began experiencing symptoms of fever, nasal discharge and cough on April 15. She was admitted to Kafr el Sheikh Fever Hospital on April 18 and received Tamiflu the same day. Infection with avian influenza was confirmed April 19. Her mother reported a close contact with dead and/or sick poultry. The girl was reported in good general condition on April 21. The MOHP reported this was the 66th 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. Related avian case
Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +
Date of report: 21 April 2009 Governorate: Sohag District: Akhmim Event summary: Boy, age 4, began experiencing symptoms of fever and runny nose on April 18. He was admitted to Sohag Fever Hospital on April 18 and received Tamiflu the same day. Infection with avian influenza was confirmed April 21. His mother reported a close contact with a dead or sick poultry. The boy was reported in good general condition on April 21. The MOHP reported this was the 67th 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
The bird flu human case infection no. 67 was confirmed 21/4/2009 for Ahmed Ramadan Kamal, 4 years old from Akhmem, Sohag Governorate.
The symptoms of the deadly virus appeared on him 18/4/2009 and he entered Sohag Fever Hospital on the same day while suffering from a high temperature and flu after being in contact with dead poultry suspected to be bird flu infected.
The patient has been given the Tamiflu and is now stable.
-
Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +
AVIAN INFLUENZA, HUMAN (79): EGYPT, 67TH CASE
*********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>
A 6 year old boy has 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 [21 Apr 2009]. The boy is
the 1st fatality attributed to the virus in Egypt this year [2009], the
news agency quoted Abdel-Rahman Shahine, a spokesman for the Health
Ministry, as saying. The boy had shown symptoms of the virus on 22 Mar 2009
after coming in contact with dead birds, Shahine said.
Egypt has the highest number of avian flu cases outside Asia, according to
the most recent data from the World Health Organization. With the newest
reports, the number of infected people there has reached 67. The Health
Ministry reported the 67th infection earlier today [21 Apr 2009], saying a
4 year old child has contracted the virus. He was in the hospital in what
was described as stable condition. He has received Tamiflu (oseltamivir)
treatment according to Shah.
Egypt has asked WHO to help investigate an outbreak of the so-called bird
flu after a dozen non-fatal cases of the disease this year [2009] prompted
speculation the virus may be becoming less virulent [and more
transmissible. - Mod.CP]
[byline: Alaa Shahine]
--
communicated by:
ProMED-mail rapporteur Mary Marshall
The Ministry of Health has just announced that a 6 year old child is no. 24
in the H5N1 death toll. The boy died today [21 Apr 2009]. He was from
Shubra Kheima at Qalyubia [governorate]. He began to suffer from H5N1
symptoms on 22 Mar 2009 and was admitted to hospital on 28 Mar 2009. He was
given Tamiflu (oseltamivir) and he [remained] in critical condition till
the end.
This is not the end of H5N1 news today [21 Apr 2009]. The Ministry of
Health has announced too that a 4 year old child was infected by H5N1 in
Sohag [governorate], Upper Egypt. He is no. 67. He entered the hospital on
the 18 Apr 2009 and he has received Tamiflu treatment.
[posted by Zeinobia]
--
communicated by:
ProMED-mail rapporteur Mary Marshall
[The death of the young child in Qalyubia governorate is the 1st fatality
in the sequence of 16 cases recorded in Egypt since the beginning of 2009.
This death weakens the argument that the outbreak virus is less virulent
than in previous years.
A map of the governorates of Egypt can be accessed at
<http://en.wikipedia.org/wiki/Governorates_of_Egypt>. The governorate of
Sohag, the residence of the 67th case, is located at 24 on this map and the
governorate of Qalyubia at 20. The HealthMap/ProMED-mail interactive map of
Egypt is available at <http://healthmap.org/r/009Y>. - Mod.CP]
[see also:
Avian influenza, human (78): Egypt, WHO 20090421.1506
Avian influenza, human (77): Egypt (KS) 66th case 20090420.1493
Avian influenza, human (76): Egypt (Cairo) 20090418.1472
Avian influenza, human (75): Egypt, 64th case conf 20090417.1464
Avian influenza, human (74): Egypt, 64th 20090417.1463
Avian influenza, human (73): Egypt, virulence 20090413.1411
Avian influenza, human (72): Egypt, virulence 20090412.1403
Avian influenza, human (71): Egypt, Viet Nam, WHO 20090408.1359
Avian influenza, human (70): Egypt (QL), 63rd case 20090406.1336
Avian influenza, human (69): Egypt (BH) 62nd case 20090404.1299
Avian influenza, human (66): Egypt (BH) 20090402.1271]
A 25-year-old Egyptian woman has died of the H5N1 bird flu virus, the 25th human fatality of the disease in Egypt, state news agency MENA said on Wednesday.
The woman, from Cairo, died of respiratory failure, MENA reported.
On Tuesday MENA reported a six-year-old boy had died from the disease.
-
CAIRO, (AP) - An Egyptian health official says a 25 year-old woman from a northern neighborhood of Cairo has died of bird flu, the country's 25th fatality from the virus.
Health Ministry spokesman Abdel-Rahman Shahine says Hadiya Salah Ragab was admitted to the hospital earlier this month with symptoms of the deadly H5N1 virus.
The woman, a resident of the poor Al-Murg neighborhood, was treated with the drug Tamiflu but remained in critical condition until she died Wednesday.
Shahine says Ragab contracted the virus by handling dead domestic poultry.
Her death came a day after a six-year-old boy from a different Cairo neighborhood died from the virus.
Women and children in Egypt are especially susceptible because they generally care for domestic fowl.
A 25-year-old Egyptian woman has died of the H5N1 bird flu virus, the 25th human fatality of the disease in Egypt, state news agency MENA said on Wednesday.
The woman, from Cairo, died of respiratory failure, MENA reported.
On Tuesday MENA reported a six-year-old boy had died from the disease. Ali Mohamed Ali Somaa from Qalyubia was 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.
Ahmed Ramadan Kamal el-Din, a 4-year-old boy from Sohag province, has contracted bird flu and was in hospital. The boy was being treated with the antiviral drug Tamiflu.
His infection brought 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.
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Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +
The death of new cases of bird flu
Died yesterday gift Salah Rajab, 25 years after being infected with bird flu, bringing the death toll to 25 since the disease appeared in Egypt, is a gift from the prairie province of the population of Cairo is the second death this year, has been the disease on April 6 the current after exposure to dead birds infected with the disease
Re: Egypt - Confirmed H5N1 in Humans April 15, 2009 +
Declaration No. 25 the event of death from bird flu in Egypt
CAIRO (Reuters) - The state news agency MENA reported on Wednesday that the Egyptian woman, aged 25 years died as a result of the bird strain (H 5 to 1) of the bird flu virus to become the No. 25 the event of death the disease in Egypt.
The agency said the woman died from Cairo, "Following the failure of breathing."
According to the agency on Tuesday quoted a spokesman for the Ministry of Health that a child is a six-year-old died of the disease. And Ali Muhammad Ali is the reputation of the province Qaliubiya first death from bird flu in Egypt in the year 2009.
And entered the reputation of the hospital in late March. The wounded child Kamaluddin Ahmed Ramadan, four-year-old from Sohag Governorate of bird flu and was admitted to the hospital. Children were treated with Tamiflu anti-flu virus.
And raised a number of human cases of bird flu in the most populous Arab country to 67 cases.
Egypt witnessed a surge in human cases in recent months has been confirmed in 16 people infected since the beginning of the year, compared with seven cases in the first of January and April 17 last year.
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