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Avian influenza - situation in Egypt - update 54 (WHO, June 22 2011): 1 New Fatal Case, Qena

Giuseppe

Giuseppe

Emeritus
[Source: World Health Organization, full page: (LINK). Edited.]

Avian influenza - situation in Egypt - update 54



22 June 2011 -The Ministry of Health of Egypt has notified WHO of a new case of human infection with avian influenza A (H5N1) virus.

The case is a 27 year-old male from Qena governorate, Deshna district. He developed symptoms on 5 June 2011, was hospitalized and was put on oseltamivir treatment on 13 June. He died on 14 June 2011.

Investigations into the source of infection indicate that the case had exposure to poultry suspected to have avian influenza.

The case was confirmed by the Egyptian sub-national laboratory for Influenza in Aswan and the Central Public Health Laboratories in Cairo, a National Influenza Centre of the WHO Global Influenza Surveillance Network.
Of the 150 cases confirmed to date in Egypt, 52 have been fatal.

​
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Re: Avian influenza - situation in Egypt - update 54 (WHO, June 22 2011): 1 New Fatal Case, Qena

2011


#119 - 40 year old male, onset date December 25, 2010 - hospitalized December 30, 2010 - Dakahlia governorate Death (Jan 2, 2011)

#120 - 8 year old male, onset date January 5, 2011, hospitalized January 8, 2011 - Giza Governorate

#121 - 1.5 year old, onset date January 12, 2011 - hospitalized on January 13, 2011 - Alexandria governorate

#122 - 7.5 years old, no details available at this time, hospitalized - Gharbia governorate

#123 - 45 years old, male, onset date January 20, hospitalized January 26, died February 5 - Menoufia governorate Death

#124 - 26 years old, female, onset date onset January 18, hospitalized January 23 - Dakahlia Governorate

#125 - 4 year old, male, onset date February 16, hospitalized February 18 - Damiata Governorate

#126 - 32 years old, female, onset date February 10, hospitalized February 14, died March 4 - Sharqia governorate Death
#127 - 2 years old, male, onset date February 18, hospitalized February 20 - Kafr El-Sheikh governorate

Unconfirmed by WHO - H5N1 case listed on Egyptian government document - Gharbia governorate

#128 - 17 years old, female, onset date February 27, hospitalized March 1 - Beheira governorate

#129 - 17 years old, female, onset date February 24, hospitalized February 26, died February 28 - Dakahlia governorate Death

#130 - 38 years old, female, onset date March 1, hospitalized March 7, died March 11 - Ismailia Governorate - Death

#131 - 32 years old, female, onset date March 8, hospitalized March 12, died March 13 - Suez governorate - Death

#132 - 28 years old, female, onset March 8, hospitalized March 10 - Giza governorate

#133 - 4 years, male, onset March 5, hospitalized March 7 - Beheira governorate

#134 - 1 year old, male, onset February 14, hospitalized February 16, discharged February 22 - Beheira governorate

#135 - 3 year old, female, onset March 10, hospitalized March 12, discharged March 18 - Beheira governorate

#136 - 34 years old, female, onset March 9, hospitalized March 15 - Alexandria governorate

#137 - 30 years old, female, onset March 7, hospitalized 15, discharged March 27 - Kafr El-Shaikh governorate

#138 - 20 years old, female, onset March 14, hospitalized March 19, died March 28 - Beheira governorate Death

#139 - 2 years old, female, onset March 26, hospitalized March 27 - Menoufia governorate

#140 - 55 years old, female, onset March 20, hospitalized March 22, discharged April 5 - Beheira governorate

#141 - 1 year old, male, onset March 20, hospitalized March 28 - Fayoum governorate

#142 - 29 years, male, onset April 1, hospitalized April 4, died April 7 - Fayoum governorate Death

#143 - 1.5 years, male, onset April 9, hospitalized April 11 - Fayoum governorate

#144 - 30 years old, female, onset April 26, hospitalized May 3, died May 9 - Alexandria governorate Death

#145 - 40 years old, female, onset May 14, recovered - Aswan governorate

#146 - 21 years old, female - pregnant, onset May 21, hospitalized, died May 29 - Menoufia governorate Death

#147 - 31 years old, male, onset May 21, hospitalized, died June 5 - Qalyubia Governorate - Death

#148 - 32 years old, male, onset May 23, hospitalized, died June 2 - Cairo governorate - Death

#149 - 16 years old, male, onset May 21, recovering - Menoufia Governorate

#150 - 27 years old, male, onset June 5, hospitalized June 13, died June 14 - Qena governorate - Death



* please see this link for previous years list
 
Re: Avian influenza - situation in Egypt - update 54 (WHO, June 22 2011): 1 New Fatal Case, Qena

There has been a change in the profile of the victims.

The last 4 WHO confirmed cases are young men - 75% death rate.

Any thoughts?
 
Re: Avian influenza - situation in Egypt - update 54 (WHO, June 22 2011): 1 New Fatal Case, Qena

A possible answer in the late hospitalization.

In the WHO statements there were not an indication of the date of hospitalization.

Other details that are lacking are these men activities or jobs.

It is extremely alarming the fact that - despite the end of the seasonal peak typical for avian influenza in poultry and human - human cases are continuing to happen, signalling a possible out-of-control epizootics due in part of the collpase of law enforcements and administrative services.

To follow with an heightened degree of attention.
 
Re: Avian influenza - situation in Egypt - update 54 (WHO, June 22 2011): 1 New Fatal Case, Qena

Maybe this is a factor?

PLoS Pathogens. Acquisition of Human-Type Receptor Binding Specificity by New H5N1 Influenza Virus Sublineages during Their Emergence in Birds in Egypt

"..We found that viruses in those sublineages exhibited increased attachment and infectivity in the human lower respiratory tract, but not in the larynx. Our findings may not allow a conclusion on the high pandemic potential of H5N1 virus in Egypt, but helps explain why Egypt has recently had the highest number of human H5 cases worldwide."
 
Re: Avian influenza - situation in Egypt - update 54 (WHO, June 22 2011): 1 New Fatal Case, Qena

ironorehopper said:
A possible answer in the late hospitalization.

In the WHO statements there were not an indication of the date of hospitalization.

Other details that are lacking are these men activities or jobs.

It is extremely alarming the fact that - despite the end of the seasonal peak typical for avian influenza in poultry and human - human cases are continuing to happen, signalling a possible out-of-control epizootics due in part of the collpase of law enforcements and administrative services.

To follow with an heightened degree of attention.
Click to expand...

I agree. Unless all of these men are poultry workers, it appears that the profile of H5N1 confirmed cases may be changing.
 
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