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WHO & EMRO | Avian influenza A(H5N1) situation update, Egypt, September 2016, Infographic [2 new H5N1 cases - both fatal]
Since the last update4 , two new laboratory-confirmed human cases of avian influenza A(H5N1) virus infection were reported to WHO. A 3-year-old male resident of Fayoum Governorate, Egypt, had onset of symptoms on 7 May 2016, was hospitalized and treated with antivirals for pneumonia, but passed away on 20 May 2016. Prior to his illness, the case was exposed to domestic poultry that appeared healthy.
The second case was a 3-year-old female resident of Giza Governorate, Egypt, who had onset of symptoms on 24 July 2016, was hospitalized and treated with antivirals for pneumonia, but passed away on 31 July 2016. Prior to her illness, the case was exposed to poultry purchased from a market that later died. Investigation and follow up of contacts of the two cases took place for 14 days with no further cases detected. Avian influenza A(H5N1) viruses are enzootic in poultry in Egypt.5
I have updated our 2016 global H5N1 case list here.
Apparently the only 2 cases reported recently are 2 fatal cases in children. Historically the majority of fatal cases have been in adults. In this situation I feel there are other cases that are not reported. What about other potential human H5N1 cases in the households of these 2 dead children? Other siblings? Women are the traditional family cooks in Egypt. Did the mother of the dead 3 year old prepare the chicken from the market?
I feel there is a high probability that these children were reported because they died and a death is harder to conceal. Sorry to say but the Egyptian government is very repressive on the media, and in fact, repressive on any negative news.
ECDC- Communicable disease threats report, 2- 8 October 2016, week 40 (07 Oct 2016) [H5N1 cases] Today, 05:29 AM
Influenza A(H5N1) and other strains of avian flu - Non EU/EEA countries, Opening date: 15 June 2005 Latest update: 7 October 2016
Highly pathogenic avian influenza viruses A(H5) of Asian origin are highly infectious for several bird species, including poultry.
The human infections with influenza A(H5) viruses have been caused by influenza A(H5N1) virus in several non-EU/EEA countries and by influenza A(H5N6) virus in China. Other avian influenza subtypes, including H7N7 and H9N2, have infected people sporadically. Many of these infections have been mild or even subclinical in humans, but some have been severe and have resulted in deaths. ECDC is following the development of these viruses and is monitoring infections in humans.
Update of the week
Since the WHO report on 19 July 2016 there have been two additional cases and three deaths reported on the WHO Regional Office for the Eastern Mediterranean website.
According to WHO, in 2016, ten cases including four deaths due to A(H5N1) were reported in Egypt up to 30 September.
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