Egypt - Man, 40, Dies, Bird Flu H5N1 Case # 119 confirmed by MOHP - Dakahlia Governorate.

[NS1]

Re: Daqahliya Mixing Pool

its all one governorate, a single area.

The 377G that is emergent in 2009 Human H5N1 from Dakahlia is also emergent in <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:country-region w:st="on">England</st1:country-region> and <st1:country-region w:st="on"><st1:place w:st="on">Iran</st1:place></st1:country-region>. A recent fatal case from England, UKEngland4500186_2010_11_f, carries the same coding for 377G combined with a 190Y only found elsewhere in 2010 Malmoe Sweden pH1N1 and in Avian H6N1.

The HPA chart of sequences did not notate the 377G branch though 5 English sequences, including this fatal one, appear on the chart carrying the H5N1 Human adaptation.

• UKEngland83_2010_10
• UKEngland87_2010_10
• UKEngland5500192_2010_10
• UKEngland119_2010_11
• UKEngland4500186_2010_11_f

<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
Data indicates that this disease is rapidly diversifying by accumulating data from multiple animal reservoirs. The most recent <st1:country-region w:st="on"><st1:place w:st="on">UK</st1:place></st1:country-region> release is essentially divergent using hyper-zoonoses.

[Twall]

Re: Egypt - Man, 40, Dies, Bird Flu H5N1 Case # 119 confirmed by MOHP - Dakahlia Governorate.

Fao report for case # 119

03/01/2011: Egypt - Highly pathogenic avian influenzaToday, January 08, 2011, 6 minutes ago
Confirmed Highly pathogenic avian influenza in Al Daqahliyah (dakahlia), for human (human death)

[sharon sanders]

Re: Egypt - Man, 40, Dies, Bird Flu H5N1 Case # 119 confirmed by MOHP - Dakahlia Governorate.

I agree.

And for that matter, we have very little information on these recent cases:

2010


#116 - 56 year old female, announced December 28 - Sharqia governorate

#117 - 25 year old female, died on December 29, 2010 - Qena governorate Death


2011

#118 - 27 year old male, announced January 1, 2011 - Ismailia governorate

#119 - 40 year old male, announced January 3, 2011 - Dakahlia governorate Death

WHO confirmed these cases with some basic information today. I updated the Egypt MOH Confirmed H5N1 Human chart.

[Twall]

Re: Daqahliya Mixing Pool

Is it also worth noting a geographic clustering between two serotypes?

We documented yesterday that a recent sequence of pH1N1 from Iran, IranBandarAbbas5096_2010_10_02, carried HA 377G in a coding that is also found emergent in H5N1 in Egypt on EgyptN04526_4M_2009_05_18 noted from Daqahleya in the GenBank spec sheet.

This thread and other recent news indicates additonal geographic interest in this area.

First 2011 H5N1 death is a 40M: al-Duqhalia.
Recent pH1N1 death is a 28F Pregnant: al-Duqhalia
Recent pH1N1 death is a 56M, Mohamed Soliman: Al-Daqahliya

Are these all alternate English spellings or are we looking at different geographic locations?

The human H5N1 2009 sequence carrying the 377G is likely from a low CFR cluster of preschool children. Low CFR H5N1, in our estimation, is much more likely to participate in active genetic interchange with human pH1N1.

Does Al-Daqahliya have some characteristic that is accelerating these two serotypes in humans?

its all one governorate, a single area.

[sharon sanders]

Re: Egypt - Man, 40, Dies, Bird Flu H5N1 Case # 119 confirmed by MOHP - Dakahlia Governorate.

Commentary - December in Egypt - A/H1N1 and A/H5N1 Quandary




A Summary of Human H5N1 Cases in 2010

[sharon sanders]

Re: Egypt - Man, 40, Dies, Bird Flu H5N1 Case # 119 confirmed by MOHP - Dakahlia Governorate.

I believe all those English spellings are for the same area.

Dakahlia is a hotbed for pH1N1.

[NS1]

Daqahliya Mixing Pool

The death of the first case of bird flu in the new year Dakahlia
01/05/2011

Announced a source familiar with the Directorate of Health Dakahlia for the death of Muhammad Bilal Siraj 40 years old farmer from the Arab village of Kafr center line Dakahlia first case of bird flu to maintain in the new year, bringing the number of cases so far 119 cases of infected, including 40 deaths since the disease appeared in Egypt in 2006.

It is worth mentioning that in Mansoura Chest Hospital received the case on 30 December last year injured heart muscle enlargement was treated over 3 days but he did not respond to treatment due to its poor state of health and conducted by the two of them heart-valve replacement and aortic Almidrali.

أعلن مصدر مطلع بمديرية الصحة بالدقهلية عن

وفاة محمد بلال سراج 40 سنة مزارع من قرية كفر العرب مركز طلخا بالدقهلية أول حالة مصابة بأنفلونزا الطيور بالمحافظة خلال العام الجديد ليصل عدد الحالات حتى الآن 119 حالة مصابة منها 40 حالة وفاة منذ ظهور المرض بمصر عام 2006 .
والجدير بالذكر أن مستشفي الصدر بالمنصورة استقبلت الحالة يوم 30 ديسمبر الماضي مصاباً بتضخم بعضلة القلب وتم علاجه علي مدار 3 أيام إلا أنه لم يستجيب للعلاج نظراً لضعف حالته الصحية وإجرائه من قبل لعمليتين بالقلب منها استبدال الصمام الميدرالي والأورطي.

http://www.mansouracity.com/article-2193.html

see also: http://www.flutrackers.com/forum/sho...d.php?t=157789

Is it also worth noting a geographic clustering between two serotypes?

We documented yesterday that a recent sequence of pH1N1 from Iran, IranBandarAbbas5096_2010_10_02, carried HA 377G in a coding that is also found emergent in H5N1 in Egypt on EgyptN04526_4M_2009_05_18 noted from Daqahleya in the GenBank spec sheet.

This thread and other recent news indicates additonal geographic interest in this area.

First 2011 H5N1 death is a 40M: al-Duqhalia.
Recent pH1N1 death is a 28F Pregnant: al-Duqhalia
Recent pH1N1 death is a 56M, Mohamed Soliman: Al-Daqahliya

Are these all alternate English spellings or are we looking at different geographic locations?

The human H5N1 2009 sequence carrying the 377G is likely from a low CFR cluster of preschool children. Low CFR H5N1, in our estimation, is much more likely to participate in active genetic interchange with human pH1N1.

Does Al-Daqahliya have some characteristic that is accelerating these two serotypes in humans?

[Laidback Al]

Re: Egypt - Man, 40, Dies, Bird Flu H5N1 Case # 119 confirmed by MOHP - Dakahlia Governorate.

The death of the first case of bird flu in the new year Dakahlia
01/05/2011

Announced a source familiar with the Directorate of Health Dakahlia for the death of Muhammad Bilal Siraj 40 years old farmer from the Arab village of Kafr center line Dakahlia first case of bird flu to maintain in the new year, bringing the number of cases so far 119 cases of infected, including 40 deaths since the disease appeared in Egypt in 2006.

It is worth mentioning that in Mansoura Chest Hospital received the case on 30 December last year injured heart muscle enlargement was treated over 3 days but he did not respond to treatment due to its poor state of health and conducted by the two of them heart-valve replacement and aortic Almidrali.

أعلن مصدر مطلع بمديرية الصحة بالدقهلية عن

وفاة محمد بلال سراج 40 سنة مزارع من قرية كفر العرب مركز طلخا بالدقهلية أول حالة مصابة بأنفلونزا الطيور بالمحافظة خلال العام الجديد ليصل عدد الحالات حتى الآن 119 حالة مصابة منها 40 حالة وفاة منذ ظهور المرض بمصر عام 2006 .
والجدير بالذكر أن مستشفي الصدر بالمنصورة استقبلت الحالة يوم 30 ديسمبر الماضي مصاباً بتضخم بعضلة القلب وتم علاجه علي مدار 3 أيام إلا أنه لم يستجيب للعلاج نظراً لضعف حالته الصحية وإجرائه من قبل لعمليتين بالقلب منها استبدال الصمام الميدرالي والأورطي.

http://www.mansouracity.com/article-2193.html

see also: http://www.flutrackers.com/forum/sho...d.php?t=157789

[sharon sanders]

Re: Egypt - Man, 40, Dies, Bird Flu H5N1 Case # 119 confirmed by MOHP - Dakahlia Governorate.

As does ProMED:

snip

Communicated by:
FluTrackers <flutrackers@earthlink.net>

[The same information was received from ProMED-mail correspondent
Mary Marshall, together with an additional comment from Michael
Coston that: "Details, such as the date of onset, length of illness,
or route of infection are awaited. This is the 6th human H5N1
infection reported by Egyptian Officials in the past 3 weeks."

A list of the cases and deaths occurring during 2010 (compiled by
FluTrackers) was included in the preceding post in this thread, see:
"Avian influenza, human: Egypt, 117 & 118th cases & list
20110102.0019". These data together with the current report indicate
that the frequency of human cases of avian influenza A/(H5N1) virus
infection in Egypt has increased in recent weeks, whereas it remains
relatively stable elsewhere.

http://www.promedmail.org/pls/otn/f?p=2400:1001:2267814680856676::NO::F2400_P1001_BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,86481

[sharon sanders]

Re: Egypt - Man, 40, Dies, Bird Flu H5N1 Case # 119 confirmed by MOHP - Dakahlia Governorate.

CIDRAP cites this thread:

Jan 3, 2011
Egypt reports 3 more H5N1 cases, 2 fatal
Egypt's health ministry over the past 3 days has announced three new H5N1 avian influenza cases, two of them fatal, according to media reports, some of them translated by members of the FluTrackers infectious disease message board. On Jan 1 officials announced that a 25-year-old woman from Qena governorate died from an H5N1 infection on Dec 29 and that a 27-year-old man from Ismailia governorate is hospitalized in stable condition with the virus, Daily News Egypt, an English-language newspaper based in Giza, reported today. Also today, health ministry spokesman Abdel Rahman Shahin announced another H5N1 death, in a 40-year-old man from Dakahlia governorate, according to a health ministry post translated by FluTrackers. The notice did not say when the man got sick but noted that his death is the first from the H5N1 virus in 2011. Egypt, which has recently experienced numerous 2009 H1N1 cases, has reported seven H5N1 cases, including four deaths, since early December 2010. Accounts of the three newest cases didn't contain details about symptom onset or exposure to sick birds. If the World Health Organization (WHO) confirms these cases, Egypt's count will rise to 118 cases and 40 fatalities.
Jan 3 Daily News Egypt story
Jan 3 FluTrackers thread

http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/jan0311newsscan.html

[sharon sanders]

Re: Egypt - Man, 40, Dies, Bird Flu H5N1 Case # 119 confirmed by MOHP - Dakahlia Governorate.

And...where are the cases of young children? There are many outbreaks of H5N1 in poultry here and here

In 2009 and in the first quarter of 2010 the majority of H5N1 confirmed cases occurred in young children exposed to poultry:

2009 -

# 52 - 2 years, female, onset date - January 9, 2009, Kerdasa district in Sixth of October governorate

# 53 - 2 years, female, onset date - January 23, 2009, Manofia Governorate, Shebin Elkom District

# 54 - 2 years, male, onset date - February 2, 2009, Suez governorate, some 120 km east of Cairo

# 55 - 2 years, male, onset date - February 7, 2009, village of Aljaddamy, Minya Governorate.

# 56 - 2 years, male, onset date - February 25, 2009, Yousef el seddik district of Fayoum Governorate

# 57 - 2 years, male, onset date - March 1, 2009, Ameriya, Alexandria governorate

# 58 - 1.5 years, female, onset date - March 6, 2009, village of metropolitan Mnov Menofia Center.

# 59 - 38 years, female, onset date - March 14, 2009, village of Al Fatah Almasrp Center Assiut Governorate

# 60 - 2.5 years, female, onset date - March 23, 2009, Nagaa' Abou Shouk village, Dandara, Qena governorate.

# 61 - 2 years, male, onset date - March 27, 2009, from Kom Hamada District, El Behira governorate

# 62 - 2 years, male, onset date - March 31, 2009, from Kom Hamada District, El Behira governorate (cousin of # 61)

# 63 - 6 years, male, onset date - March 22, 2009, from Shubra El Khema District, Al Qalyubiyah governorate. Death

# 64 - 33 years, female, onset date - April 7, 2009, Kellin district, Kafr el-Sheik province. Death

# 65 - 25 years, female, onset date - April 6, 2009, from Al-Marg area, Cairo governorate. Death

# 66 - 18 mo., female, onset date - April 15, 2009, Chaabas Amir Kulain Village, Kellin district, Kafr el-Sheik province

# 67 - 4 years, male, onset date - April 18, 2009, Akhmem, Sohag governorate.

# 68 - 34 years, female, onset date - April 21, 2009, Tanta, Gharbia governorate. (status unclear)

# 69 - 5 years, female, onset date - May 9, 2009, Sohag governorate

# 70 - 4 years, male, onset date - May 10th, 2009, Kafr Sagr, Sharqia (East Province) governorate.

# 71 - 3 years, male, onset date - May 12th, 2009, Mahalla, Gharbia Governorate.

# 72 - 4 years, female, onset date - May 9, 2009, Meet Ghamr, Daqahlia governorate. Death

# 73 - 4 years, male, onset date - May 18, 2009 , Dakahliya, Sohag

# 74 - 3 years, male, onset date - May 17, 2009 - Sohag

# 75 - 4 years, male, onset date - May 24, 2009 - Hehia District, Sharkia Governorate

# 76 - 4 years, female, onset date - May 23, 2009 - Abo Hammad District, Sharkia Governorate

# 77 - 1 year, female, onset date - May 25, 2009 - Dakahlia province

# 78 - 4 years, female, onset date - May 30, 2009 - Kafr El-Shiekh District, Kafr El-Shiekh Governorate

# 79 - 17 mos., female, onset date - June 1, 2009 - Albesartp village, Damietta Governorate

# 80 - 4 years, female, onset date - June 5, 2009 - Delta Village - Dakahlia Province

# 81 - 1 year, male, onset date - June 15, 2009 - Kulain, Kafr el-Sheikh province

# 82 - child, female, onset date - July 24, 2009 - Ghazi, province of Kafr El Sheikh

# 83 - 1.5 years, male, onset date - July 30, 2009 - Shebin Menofia

# 84 - 18 - 20mo., female, onset date - August 27, 2009 est. - Berket al-Saba, Menoufiya governorate

# 85 - 14 years old, female, onset date - August 28, 2009 est. - Kafr Saad, Damietta

# 86 - 13 years old, male - onset date - September 12, 2009 est. - Echmoun city

# 87 - 14 mo., female, onset date - September 23, 2009 - Beheira governate

# 88 - 21 years old, male, onset date - November 11, 2009 - Alexandria

# 89 - 3 years old, male, onset date - November 21, 2009 - Minya Governate

# 90 - 21 years old, female, onset date - December 15, 2009 - Gharbia governate


2010 -

# 91 - 20 years old, female, onset date - January 6, 2010 - Beni Suef governate Death

# 92 - 1 year old, male, onset date - January 7, 2010 - Dakahalya governorate

# 93 - 3 years old, male, onset date - January 19, 2010 - Assuit governorate

# 94 - 45 years old, male, onset date - January 12, 2010 - Shargea governorate

# 95 - 40 years old, female, onset date - January 31, 2010 - Qalyubia Governorate

# 96 - 29 years old, female, onset date - January 27, 2010 - Menoufiya Governorate Death

# 97 - 37 years old, male, onset date - February 6, 2010 - Helwan governate Death

# 98 - 32 years old, male, onset date - February 6, 2010 - Menofiya Governorate

# 99 - 29 years old, female, onset date - February 6, 2010 - Menoufiya governorate Death

#100 - 10 years old, male, onset date February 10, 2010 - Dakahlia governorate

#101 - 13 years old, male, onset date February 10, 2010 - Kafr El-Sheikh governorate

#102 - 30 years old, female, onset date February 10, 2010 - Kafr El-Sheikh governorate

#103 - 14 months, male, onset date February 22, 2010 - Qalyubia governorate

#104 - 52/53 years old, male, onset date February 27, 2010 - Qalyubia governorate Death

#105 - 20 years old, female, onset date March 5, 2010 - Qalyubia governorate Death

#106 - 18 months, male, onset date March 2, 2010 - Kfr Elsheikh governorate

#107 - 4 years old, male, onset date March 18, 2010 - Beni Suef governorate Death

[sharon sanders]

Re: Egypt - Man, 40, Dies, Bird Flu H5N1 Case # 119 confirmed by MOHP - Dakahlia Governorate.

I agree.

And for that matter, we have very little information on these recent cases:

2010


#116 - 56 year old female, announced December 28 - Sharqia governorate

#117 - 25 year old female, died on December 29, 2010 - Qena governorate Death


2011

#118 - 27 year old male, announced January 1, 2011 - Ismailia governorate

#119 - 40 year old male, announced January 3, 2011 - Dakahlia governorate Death

[Laidback Al]

Re: Egypt - Man, 40, Dies, Bird Flu H5N1 Case # 119 confirmed by MOHP - Dakahlia Governorate.

Further information on this case is necessary. A 44 year old individual was previously reported to have died from H5N1 in mid December in Daqahlia Governorate.

see: http://www.flutrackers.com/forum/showpost.php?p=382870&postcount=1

[sharon sanders]

Re: Egypt - Case number 119 resulted in death, confirmed by mohp for H5N1 infection in Dakahlia Governorate.

Egypt Ministry of Health Confirmed Cases


2009 -

# 52 - 2 years, female, onset date - January 9, 2009, Kerdasa district in Sixth of October governorate

# 53 - 2 years, female, onset date - January 23, 2009, Manofia Governorate, Shebin Elkom District

# 54 - 2 years, male, onset date - February 2, 2009, Suez governorate, some 120 km east of Cairo

# 55 - 2 years, male, onset date - February 7, 2009, village of Aljaddamy, Minya Governorate.

# 56 - 2 years, male, onset date - February 25, 2009, Yousef el seddik district of Fayoum Governorate

# 57 - 2 years, male, onset date - March 1, 2009, Ameriya, Alexandria governorate

# 58 - 1.5 years, female, onset date - March 6, 2009, village of metropolitan Mnov Menofia Center.

# 59 - 38 years, female, onset date - March 14, 2009, village of Al Fatah Almasrp Center Assiut Governorate

# 60 - 2.5 years, female, onset date - March 23, 2009, Nagaa' Abou Shouk village, Dandara, Qena governorate.

# 61 - 2 years, male, onset date - March 27, 2009, from Kom Hamada District, El Behira governorate

# 62 - 2 years, male, onset date - March 31, 2009, from Kom Hamada District, El Behira governorate (cousin of # 61)

# 63 - 6 years, male, onset date - March 22, 2009, from Shubra El Khema District, Al Qalyubiyah governorate. Death

# 64 - 33 years, female, onset date - April 7, 2009, Kellin district, Kafr el-Sheik province. Death

# 65 - 25 years, female, onset date - April 6, 2009, from Al-Marg area, Cairo governorate. Death

# 66 - 18 mo., female, onset date - April 15, 2009, Chaabas Amir Kulain Village, Kellin district, Kafr el-Sheik province

# 67 - 4 years, male, onset date - April 18, 2009, Akhmem, Sohag governorate.

# 68 - 34 years, female, onset date - April 21, 2009, Tanta, Gharbia governorate. (status unclear)

# 69 - 5 years, female, onset date - May 9, 2009, Sohag governorate

# 70 - 4 years, male, onset date - May 10th, 2009, Kafr Sagr, Sharqia (East Province) governorate.

# 71 - 3 years, male, onset date - May 12th, 2009, Mahalla, Gharbia Governorate.

# 72 - 4 years, female, onset date - May 9, 2009, Meet Ghamr, Daqahlia governorate. Death

# 73 - 4 years, male, onset date - May 18, 2009 , Dakahliya, Sohag

# 74 - 3 years, male, onset date - May 17, 2009 - Sohag

# 75 - 4 years, male, onset date - May 24, 2009 - Hehia District, Sharkia Governorate

# 76 - 4 years, female, onset date - May 23, 2009 - Abo Hammad District, Sharkia Governorate

# 77 - 1 year, female, onset date - May 25, 2009 - Dakahlia province

# 78 - 4 years, female, onset date - May 30, 2009 - Kafr El-Shiekh District, Kafr El-Shiekh Governorate

# 79 - 17 mos., female, onset date - June 1, 2009 - Albesartp village, Damietta Governorate

# 80 - 4 years, female, onset date - June 5, 2009 - Delta Village - Dakahlia Province

# 81 - 1 year, male, onset date - June 15, 2009 - Kulain, Kafr el-Sheikh province

# 82 - child, female, onset date - July 24, 2009 - Ghazi, province of Kafr El Sheikh

# 83 - 1.5 years, male, onset date - July 30, 2009 - Shebin Menofia

# 84 - 18 - 20mo., female, onset date - August 27, 2009 est. - Berket al-Saba, Menoufiya governorate

# 85 - 14 years old, female, onset date - August 28, 2009 est. - Kafr Saad, Damietta

# 86 - 13 years old, male - onset date - September 12, 2009 est. - Echmoun city

# 87 - 14 mo., female, onset date - September 23, 2009 - Beheira governate

# 88 - 21 years old, male, onset date - November 11, 2009 - Alexandria

# 89 - 3 years old, male, onset date - November 21, 2009 - Minya Governate

# 90 - 21 years old, female, onset date - December 15, 2009 - Gharbia governate


2010 -

# 91 - 20 years old, female, onset date - January 6, 2010 - Beni Suef governate Death

# 92 - 1 year old, male, onset date - January 7, 2010 - Dakahalya governorate

# 93 - 3 years old, male, onset date - January 19, 2010 - Assuit governorate

# 94 - 45 years old, male, onset date - January 12, 2010 - Shargea governorate

# 95 - 40 years old, female, onset date - January 31, 2010 - Qalyubia Governorate

# 96 - 29 years old, female, onset date - January 27, 2010 - Menoufiya Governorate Death

# 97 - 37 years old, male, onset date - February 6, 2010 - Helwan governate Death

# 98 - 32 years old, male, onset date - February 6, 2010 - Menofiya Governorate

# 99 - 29 years old, female, onset date - February 6, 2010 - Menoufiya governorate Death

#100 - 10 years old, male, onset date February 10, 2010 - Dakahlia governorate

#101 - 13 years old, male, onset date February 10, 2010 - Kafr El-Sheikh governorate

#102 - 30 years old, female, onset date February 10, 2010 - Kafr El-Sheikh governorate

#103 - 14 months, male, onset date February 22, 2010 - Qalyubia governorate

#104 - 52/53 years old, male, onset date February 27, 2010 - Qalyubia governorate Death

#105 - 20 years old, female, onset date March 5, 2010 - Qalyubia governorate Death

#106 - 18 months, male, onset date March 2, 2010 - Kfr Elsheikh governorate

#107 - 4 years old, male, onset date March 18, 2010 - Beni Suef governorate Death

#108 - 30 years old, female, onset date?, hospitalized March 24th, 2010 - Damietta governorate

#109 - 18 years old, female, onset date?, hospitalized March 31, 2010 - Fayoum Governorate Death

#110 - 20 years old, female, onset date unknown, hospitalized in Cairo July 21, 2010 - Qalyubia governorate Death

#111 - 2 year old, female, onset date unknown, hospitalized August 4, 2010 - Cairo governorate

#112 - 33 year old, female, onset date unknown, hospitalized August 24, 2010 - Qalyubia governorate Death

#113 - 30 year old female, onset date November 28, 2010 - hospitalized December 1, 2010 - Gharbia governorate - Death

#114 - 25 year old female, onset date unknown at this time Behiera governorate

#115 - 11 year old female, Luxor governorate Death

#116 - 56 year old female, announced December 28 - Sharqia governorate

#117 - 25 year old female, died on December 29, 2010 - Qena governorate Death


2011

#118 - 27 year old male, announced January 1, 2011 - Ismailia governorate

#119 - 40 year old male, announced January 3, 2011 - Dakahlia governorate Death

[Twall]

This is confirmed by the mohp via the media center


The death of the 40 bird flu in Egypt
نشر في تاريخ : Monday, January 03, 2011 Posted in date: Monday, January 03, 2011


أعلن الدكتورعبد الرحمن شاهين المتحدث الرسمى لوزارة الصحة عن وفاة حالة مصابة بمرض أنفلونزا الطيور لرجل يبلغ من العمر 40 عاماً من محافظة الدقهلية. Advertise Acanutorabd Rahman Shahin, official spokesman of the Ministry of Health for the death case of bird flu virus to a man at the age of 40 years from the province of Dakahlia.

وأوضح شاهين بأنه بذلك يصبح إجمالى عدد حالات الإصابة بالمرض فى مصر 119 حالة وعدد الوفيات 40 حالة منذ بداية ظهور المرض فى مصر فى عام 2006، لافتاً إلى أن هذه هى حالة الوفاة الأولى بالمرض خلال عام 2011. Shaheen explained that bringing the total number of cases of the disease in Egypt, 119 cases and 40 deaths since the onset of the disease in Egypt in 2006, pointing out that this is the first death the disease in 2011.