• FluTrackers.com Inc. does not provide medical advice. Information on this web site is collected from various internet resources, and the FluTrackers board of directors makes no warranty to the safety, efficacy, correctness or completeness of the information posted on this site by any author or poster. The information collated here is for instructional and/or discussion purposes only and is NOT intended to diagnose or treat any disease, illness, or other medical condition. Every individual reader or poster should seek advice from their personal physician/healthcare practitioner before considering or using any interventions that are discussed on this website. By continuing to access this website you agree to consult your personal physican before using any interventions posted on this website, and you agree to hold harmless FluTrackers.com Inc., the board of directors, the members, and all authors and posters for any effects from use of any medication, supplement, vitamin or other substance, device, intervention, etc. mentioned in posts on this website, or other internet venues referenced in posts on this website.
  • We are not asking for any donations. Do not donate to any entity who says they are raising funds for us.

DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

AlaskaDenise

In Memoriam
I believe this is the location of their village - Kafr Hanut. There is another Hanut further east in another governate, but this appears to fill the bill...
Kafr Hanut, Egypt 2006.GIF
 
Re: Egyptian govt reports 2 human bird flu cases

Re: Egyptian govt reports 2 human bird flu cases

AlaskaDenise said:
I believe this is the location of their village - Kafr Hanut. There is another Hanut further east in another governate, but this appears to fill the bill...
View attachment 1190
Yes, it is on the Nile and the earlier case was 12 miles north, also on the Nile.
 
Re: Egyptian govt reports 2 human bird flu cases

Re: Egyptian govt reports 2 human bird flu cases

The earlier H5N1 is an exact match with positions 226-230 influenza B (QSGRI). The first indication of efficient transmission is a familial cluster, as described in the translation above.

What is standing between the current cases and a more easily transmitted virus?

.
 
Re: Egyptian govt reports 2 human bird flu cases

Re: Egyptian govt reports 2 human bird flu cases

AlaskaDenise said:
What is standing between the current cases and a more easily transmitted virus?

.

The earlier case was the first example of M230I in the Qinghai strain. It makes the H5N1 receptor binding domain look more like a human receptor binding domain. US NAMRU released the earlier sequence within a couple of days of confirmation. The sequence was public before the patient died. It will be interesting to see if the current cluster also has M230I. There are other changes circulating in the Qinghai strains in the Middle East, including S227N in Egypt. These acquisitions can recombine, and they have already been shown to synergize.
 
Re: Egyptian govt reports 2 human bird flu cases

Re: Egyptian govt reports 2 human bird flu cases

So this will be a "wait & see" how well the key (QSGRI) fits the lock?

.
 
Re: Egyptian govt reports 2 human bird flu cases

Re: Egyptian govt reports 2 human bird flu cases

AlaskaDenise said:
So this will be a "wait & see" how well the key (QSGRI) fits the lock?

.

The current cluster is already the largest for Egypt.
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

This is too much like Dogubayazit....both timing and new genetic changes.

.
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

The latest report from Reuters - see headlines thread - reports the cases were from a village near Zifta.

Zifta is about 6 miles south of Kafr Hanut.

.
 
Last edited:
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

...the three cases were from the same household, which houses an extended family of 33 people living together ...

This will certainly bear watching.

.
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

AlaskaDenise said:
This is too much like Dogubayazit....both timing and new genetic changes.

.

These are more links to Qinghai H5N1 migration. The question is how many bird / human cases are NOT being reported in the area.

Clusters may be a prerequisite for reporting / confirming.
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

If the 30F became ill on December 17th, then were the siblings infected via ducks or the 30 year old?

.
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

my worry is what possible illness are the ones from around the world that are going to the haji might bring back with them.
 
Last edited:
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

AlaskaDenise said:
If the 30F became ill on December 17th, then were the siblings infected via ducks or the 30 year old?
Exactly!!

And, really, the 30F (who has now died) was hospitalized on the 17th -- she may have been/probably was exhibiting symptoms even earlier than that.
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

niman said:
The question is how many bird / human cases are NOT being reported in the area.
Uh, lemme take a stab at that ... LOTS!!

(I know that's what you were implying, Doc -- just wanted to second that thought.)
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

Theresa - your find about the NAMRU being next door to the hospital is great. Not only does the NAMRU do great work, but now they'll have the best possible circumstances for testing (perhaps even deposited from the air on their own property).

.
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

In the case of the 15F reported today, it's interesting that they claim the tamilfu didn't help. Was it administered to late, or is the latest strain resistant?

.
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

From Dutchy's article in the news thread....

"Food security," is at the top of the list of concerns, added Ali.
Recognizing the infeasibility of eliminating backyard production, especially since it is the main source of food for many low-income families, he recommends a number of procedures.

What is the compensation program within Egypt?

The problem with compensation for each bird is that it may not compensate for the future food from their lost eggs.


.
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

While we're all anxiously awaiting news from the NAMRU in Cairo, here's a little history on the facility....

The U.S. Naval Medical Research Unit No.3 (NAMRU-3) conducts research and surveillance to support military personnel deployed to Africa, the Middle East, and Southwest Asia. The mission also includes the evaluation of vaccines, therapeutic agents, diagnostic assays, and vector control measures.

NAMRU-3 is adjacent to the Abbassia Fever Hospital, the oldest and largest fever hospital in the Middle East. NAMRU-3 has modem research laboratories, a medical research library, and is the only laboratory in Africa with an animal facility credited by the American Association for Accreditation of Laboratory Animal Care. It is the largest DoD overseas laboratory, with BSL-3 bio-containment space and field and hospital study sites located throughout Egypt. A malaria field site is located in the upper east region of northern Ghana.

NAMRU-3 works closely with the Egyptian Ministry of Health and Population, the U.S. National Institutes of Health, the World Health Organization, the U.S Agency for International Development and the U.S. Centers for Disease Control and Prevention. NAMRU-3 is a WHO Collaborating Center for HIV and Emerging Infectious Diseases.

NAMRU-3 established a presence in Egypt in 1942when the U.S. Typhus Commission placed a research laboratory staffed by American scientists and technicians in Cairo. The laboratory played a major role in averting a serious typhus outbreak during and following World War II. After the war, the Navy was invited by the Egyptian Government to continue collaborative studies of endemic tropical and subtropical diseases.

In response, NAMRU-3 was formally established in 1946.

http://www.nmrc.navy.mil/namru_3.htm

.
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

the lack of biosecurity for these boys speaks volumes....

boys on birds.jpg

Boys stand on top of a pile of slaughtered birds to be buried, after an outbreak of bird flu killed one woman and infected two others, in the Egyptian village of Hanout in the Nile Delta December 25, 2006. An Egyptian woman died of bird flu on Sunday, hours after tests confirmed she and two other members of her extended family had been suffering from the highly pathogenic virus, a World Health Organization official said.

http://www.alertnet.org/db/crisisprofiles/BIRDFLU.htm
 
Re: DISCUSSION - Hanut, Gharbiyah, Egypt - 12/23+

I contacted the NAMRU-3 about their reporting of influenza test results and received the following reply:

Denise,

As the WHO Regional Influenza Reference Laboratory I send all my results
to the WHO Headquarters via WHO-Eastern Mediterranean Regional Office.
I also inform other "customers" based on who in fact is the submitting
body. We attempt to post sequence data on Genebank within a week of
specimen processing. This allows for international transparency in
terms of what is circulating.

I hope this helps enlighten you as to our reporting channels.

Regards,
(name deleted per FT privacy policy)
Program Head, Virology
NAMRU-3 Cairo, Egypt

.
 
Back
Top