Re: EGYPT - 11? susp cases in Bani Suwayf, Al Gharbiyah & Ash Sharqiyah governorates
On the treatment of bf patients in Egypt ... & cats hanging out in one of the hospitals ....
Google-translated from Arabic:
Pathogenesis of Tanta and "cows" [Banha] in a battle with avian influenza
The second wave took the lives of six months
Jan 22, 2007
Achievement: Nadia Mutawe: H5N1 Anflonz birds strongly active for about two months. This fiercely with the onset of winter present, and claimed the lives of about five people in the last couple of months, other than the six cases, since he appeared to be auctioned in Egypt, the beginning of the year past. Virus defeated government and the alleged preparations, including alleged provide vaccines and besieging the epidemic, to resettle and take years to eliminate it. The rate of deaths among H5N1-infected 100%, in the cases of five years, while not exceeding the 50% in the past year.
Many families lost sons ones so that one family in the village of Mit Hanoun town in Western [Al Gharbiyah] died three of her children at once because of this disease, and in all cases the scenario one, is using the situation to a hospital Viral conservatism and doctors fail to detect the disease early, and eventually death to be a family-Sadr Abbassiya hospital.
Why this increase in mortality rate. What preparations hospitals nationwide to receive Viral disease?
On February 17 last year, the date of entry of avian influenza virus to Egypt, the government announced the first case of the emergence of disease among birds of avian influenza, and early next month >March< died the first case of human infection by the virus, and the hopes of Ismail in the village of Neu Bakuliobeh, continued cases of human infection. After that six people died from among 11 people, proved illness in the last year, the percentage of deaths was just 50% of the infected people.
The disease has subsided over the past summer months, and then reappeared again, two months ago with low temperatures, with the second wave known of the illness, but she came to the most aggressive than its predecessor, the first wave died in all cases that proved she was diagnosed with the disease, so that Hamdi al-Sayyed, president of the Medical Association, and Chairman of the People's Assembly Committee on Health called on the government to clarify this.
And if the experts had confirmed that the disease avian influenza has become endemic in Egypt, and confirmed optimists them that the length of endemic up to three years while he went to the pessimists that the term may extend to 10 years and as long as the government knows that, especially that one of its members, a counselor Adli Hussein, governor of Qalyoubia was part of the stressed endemic in Egypt, as long as the matter further. Is the government prepared to face this disease, whether prepared Viral hospitals nationwide to confront him. What is the cause of death of all cases that have been infected this winter?
>Delegation< tried searching for the answers to those questions, within hospitals Viral some stricken provinces, which is where the hotbeds of infection.
Our approach at the outset of Viral hospital in the city of Banha, Qaliubia province, where three cases have been detained since 3 days suspected of being infected with the disease first case of a child at the age of eight and named Imad Awadallah Attiya, from the village of Demlo, Qaliubia governorate.
Imad - also says his father - showing symptoms of high temperature and Cha. This happened to it after that five dead poultry at home once, we came out of the unit to send poultry veterinarian for analysis, Imad conveyed to the hospital so he takes a sample of doctors and a sample of his blood again, and sent for analysis in laboratories central Ministry of Health in Cairo, was given the drug >Altamiflo< drink.
Imad patient asked : Are you afraid? He said : "no." I am OK, thank God, and return home soon, God willing.
In the next room of the patient Imad hospital unit spinning lies hushed Mr. Solomon-17 years - from the village Ptmdh Bakuliobeh infected the disease. Says >hushed< Bacha: I was very heated, and this situation continues for more than a week without improvement, attending to the hospital three days since their calculations samples from the throat, blood, and sent for analysis in the >Egypt< We are still awaiting the results.
Adds his father: a hushed when long the disease has not improved hushed her brother asked me to convey to the hospital Viral, after the dead poultry which we Nerbiha at home.
In the same room, lying need Khidrah Ahmed Mustafa, from the village center Mjul cows, infected with the disease. She says: I felt Brashah accompanied by severe heat and the sweat and Ghazir Cha, died after all that I Arbiha poultry in the home, and I went to a private doctor said to me: should Tdi to hospital Viral and there took samples from the throat, and I had a blood test, but the result of the analysis so far failed to show that despite me three days in the hospital.
Rim need greenery, when asked: You scared? She said: "Yes, I have a boy and a girl small still need me, and asked her: "Why I summoned poultry at home despite the danger? She said: "We concluded that the disease Aftickerna salvation, especially as we Year who missed *bhana each bird, it did not show anything, but Heneml mandate. Share this. Left sick and went to Dr. Abdulkadir Farrag, Under Viral Banha hospital, and asked him about the
procedures to be followed when entering any suspect to the hospital suffering the disease?
He said: be a medical examination of the suspect, by a team fortunes in the contagion component from a doctor consultative, who is president of the Panel and the two deputies,
and are identified history patients of the patient and his relationship of birds household, and whether dead he had any birds, and the symptoms sensed by, especially to high temperature and joint pains, after which they will be detention of the patient the unity of defenseless on Avian, a unit-equipped medically especially since where an organ that the respiratory industrially, and take taint of shave the patient, and the image of the blood of full and be the work of radiology on the chest, send samples Lab the central the Ministry of Health in Cairo and addresses the the patient pair with >Altamiflo< in the form of tablets, senior or drink for children, are measured temperature him every 4 hours and describes the of their patients downward of heat, and in when it is exposed to any complications in breathing that it might be retrieved on the respirator industrial, and as a result analyzes reach within 48 hours,
if proved it to be positive to be completed treatment for a period of 5 days and leaves the patient after he recovered, and follow up in the hospital once a week for a period of one month, to make sure state of his health. However, if the result was negative goes out the patient immediately.
She asked: If all these preparations in place,
why the mortality rate to 100% of the cases that have emerged recently?
The problem: the delay in reporting the disease, then the virus was able to lung injured, and time of treatment did not work, for example, among 181 cases of suspected infection with avian influenza received by the hospital over the past year, did not show where only two positive, as a result of dealing with early disease were treated cases and exited from the hospital and are now in good shape.
Leaving Hospital pathogenesis of "cows" [Banha], and went to the hospital pathogenesis of Tanta governorate Bank and died four cases are due to the failure of doctors to diagnose the disease, proper diagnosis and cases are: Hanan Aboulmagd said: Smnod of the city, and Fred Antdhar Badawi, sister and son Reza sister Shafih saying.
In the second round the hospital, where the unit to isolate avian influenza patients, the first thing that caught my attention is the number of cats in each classroom existing role under the Family and also above. [alt trans: ...first of what drew my sight is the number of present cats by all by all the floor rooms under the family and over them also.]
The other thing is interesting to consider is that the unity of segregation itself is not the role of a single, isolated from the rest rooms, as is the case in the pathogenesis of "cows" [Banha], but the isolation unit is one of the existing rooms and the role after another came out suspected cases is the child emigrated Hadi - 4 years - were closed room by an iron lock, which is the same situation exists on the third room, where the men separated.
There we met Dr. Fouad explained director of the hospital, which confirmed that the drug Altamiflo was in the hospital and be given to any patient suspected in the illness of avian influenza, as well as a floor space in the industrial units isolation, to deal with the patient in case of injury complications, but if it is proved that the injury of the patient's positive are sent to the hospital in Sadr Abbassiya.
I asked him: why she died all cases that were hit in the Western Province [Al Gharbiyah], could not be detected by doctors? - He said: the problem in the people themselves, the citizen has an denies its dealings with poultry, and here believes the physician that the situation ordinary, and as a result of this the delay in the detection of the disease and dealing with H5N1 have been able to pneumonia, and this is what happened with the three cases, which belong to
the family of one in the Mit Hannoon these the family composed of 32 people living in a single house, and when came to us to the first case denied its relationship the chickens, and then denied her sister also, even came her cousin, three days later and asked him about its relationship of birds, said they rearing poultry already, has dead have the birds and were Ithbehunha, and here we have begun the discovery of disease, and was treatment, but after the is too late, the remedy order to be effective must begin with the beginning of H5N1 infection and before the commodity reaches the lung.
He added: We have announced all hospitals Viral state of emergency since the emergence of the disease, and we hold training sessions continuously for workers in the hospital on how to deal with the patient, and the provision of real estate Altamiflo in the hospital and all other preventive measures, such as remove the solvents sterilization, medicine, but the problem of the denial of the people of their relationship with the chickens, which mislead doctors because the symptoms of avian flu symptoms similar to the regular flu.
It demands that Dr. Fouad explained that the citizens of the abandoned poultry house, because they are more vulnerable to H5N1 infection and transferred to humans, as the poultry farms will be given a vaccine against the disease, hence the shift in the poultry house.
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