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Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

Commonground

Senior Moderator
Girl in Dakahliya .. Health announces 80 infection of bird flu

Confirmed on Sunday, No. 80 of human infection from bird flu in a girl named Nada Mohammed Abdulnabi, aged 4 years of dead iron Maniya victory Dakahlia province, said Dr. Abdel Rahman Shahin, official spokesman of the Ministry of Health.

وقال شاهين إن بداية ظهور الأعراض على الطفلة كانت يوم 5 من الشهر الجارى، دخلت على إثرها أمس السبت مستشفى صدر المنصورة، وهى تعانى من حمى ورشح عقب تعرضها لطيور يشتبه فى إصابتها بمرض أنفلونزا الطيور، لافتاً إلى أنه فور الاشتباه فى إصابتها بالمرض تم إعطاؤها عقار التاميفلو وحالتها المرضية مستقرة، وجارٍ تحويلها لمستشفى منشية البكرى.​

Sahin said that the onset of symptoms the child had been on 5 of this month, entered the hospital on Saturday following which was Egypt, which is suffering from a fever and was nominated after exposure to birds suspected of being infected with bird flu, he said, adding that once suspected of being infected with the disease were given the drug Tamiflu, a stable and satisfactory condition, and is being transferred to a hospital in the capital Bakrie.
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

Egypt announces No. 80 infection of bird flu, girl Dakahliya


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صبى يطعم مجموعة من الطيور المنزلية بالقاهرة - رويترز​
Boy feed a range of domestic birds in Cairo - Reuters <!-- Capture -->
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6/7/2009 10:39:00 PM​
6/7/2009 10:39:00 PM
القاهرة - محرر مصراوى - تأكدت الأحد الإصابة البشرية رقم 80 بمرض أنفلونزا الطيور لطفلة تدعى ندا محمد عبدالنبى تبلغ من العمر 4 سنوات من ميت حديد منية النصر بمحافظة الدقهلية .​



CAIRO - Editor Masrawy - Sunday confirmed the incidence of human disease No. 80 of avian influenza in a girl named Nada Mohammed Abdulnabi, aged 4 years of Mitt iron Maniya victory Dakahlia province.
وقال الدكتور عبدالرحمن شاهين المتحدث الرسمي لوزارة الصحة إن بداية ظهور الأعراض على الطفلة كانت منذ يوم 5 يونيو، دخلت على إثرها السبت مستشفى صدر المنصورة وهى تعانى من حمى ورشح عقب تعرضها لطيور يشتبه فى إصابتها بمرض إنفلونزا الطيور لافتا الى أنه فور الإشتباه فى إصابتها بالمرض تم إعطائها عقار التاميفلو وحالتها المرضية مستقرة وجارى تحويلها لمستشفى منشية البكرى بالقاهرة لمواصلة العلاج.​



And Dr. Abdul Rahman Shaheen said the official spokesman for the Ministry of Health that the onset of symptoms the child had been on June 5, entered the hospital on Saturday following which Egypt was suffering from a fever and was nominated after exposure to birds suspected of being infected with bird flu, noting that once the suspicion of being infected with the disease have been given the drug Tamiflu and the pathological condition of a stable and ongoing conversion of the hospital in the capital Cairo for further treatment.
وكان الدكتور حامد سماحة، رئيس الهيئة العامة للخدمات البيطرية بوزارة الزراعة قد حذر من خطر تزايد حالات الإصابة بـ"إنفلونزا الطيور".​



It was Dr. Hamid Samaha, Chairman of the General Authority for Veterinary Services, Ministry of Agriculture has warned of the risk of increased incidence of "bird flu".
وأكد ضرورة ألا يشغل وباء "اتش 1 إن 1"، المعروف باسم إنفلونزا الخنازير، المصريين عن الاهتمام بمرض إنفلونزا الطيور، وشدد على أن "الخطر القادم هو إنفلونزا الطيور".​



He should not hold and B "1 The 1 H", known as swine flu, the Egyptian interest in avian influenza disease, and stressed that "the threat is avian flu."
وأكد سماحة "أنه رغم تكثيف الحملات الصحية على المنازل لإعدام الطيور فلن تستطيع الدولة التخلص منها نهائيا، ولهذا فإن عاملي التثقيف والوعي بخطورة هذا الأمر هما العامل الرئيس في التقليل من الإصابة بمرض إنفلونزا الطيور".​



The generosity "that, despite the intensification of health campaigns on the execution of the bird houses will not be able to state for final disposal, and the combination of education and awareness of the seriousness of this matter are the President in the reduction of the incidence of disease, avian flu."
ولا تزال الأسر المصرية في المناطق الريفية محتفظة بعادة تربية الدواجن في المنازل، مما يؤدي إلى اختلاطها خاصة بالأطفال والسيدات.​



Egyptian families are still in rural areas and still maintain the custom in the poultry houses, which leads to mixing, especially children and women.
وتبذل الحكومة المصرية جهودا حثيثة من اجل احتواء الإصابة بالفيروس القاتل والحد من انتشاره، وتدعو من خلال وسائل الإعلام إلى تجنب الاختلاط نهائيا بأي طيور إلا بعد اتخاذ تدابير احترازية.​



The Egyptian government is making strenuous efforts to contain the deadly HIV infection and reduce its spread, and calls through the media to avoid mixing with any birds, but finally after the adoption of precautionary measures.
المصدر: وكالة انباء الشرق الاوسط، مصراوى​
Source: Middle East News Agency, Masrawy​


http://www.masrawy.com/News/Egypt/Politics/2009/june/7/egy_flu_birds.aspx
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

Would like to see this picked up by the wire services...they are a few cases behind!
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

# 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, Al Gharbiyah (West Province) 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
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

It is worth noting that this is the 12th case in the last month and all are 5 years of age or young, and the vast majority have recovered,
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

another confirmation - hat tip Zeinobia -

no originating link -


H5N1 Follow Up : No.80

The ministry of health has announced that 4 years old Nada Mohamed Abd El-Nabi has been infected by H5N1. Nada is No. 80 in our H5N1 infection toll. She is from a village in Dakahlia Governorate. “Delta”


She began to suffer the symptoms on the 5th of June and entered Saturday Mansoura fever hospital. She was given Tamflu and thank God her condition is stable. She will be transferred to Manshiat El-Bakery hospital soon
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

Here is a link to the original version of Post #1:

منية النصر = Maniya victory

http://www.alyoum7.com/News.asp?NewsID=106593

تأكدت اليوم الأحد، الإصابة البشرية رقم 80 بمرض أنفلونزا الطيور لطفلة تدعى ندا محمد عبدالنبى تبلغ من العمر 4 سنوات من ميت حديد ـ منية النصر بمحافظة الدقهلية، صرح بذلك الدكتور عبدالرحمن شاهين المتحدث الرسمى لوزارة الصحة.

وقال شاهين إن بداية ظهور الأعراض على الطفلة كانت يوم 5 من الشهر الجارى، دخلت على إثرها أمس السبت مستشفى صدر المنصورة، وهى تعانى من حمى ورشح عقب تعرضها لطيور يشتبه فى إصابتها بمرض أنفلونزا الطيور، لافتاً إلى أنه فور الاشتباه فى إصابتها بالمرض تم إعطاؤها عقار التاميفلو وحالتها المرضية مستقرة، وجارٍ تحويلها لمستشفى منشية البكرى.
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

It is worth noting that this is the 12th case in the last month and all are 5 years of age or young, and the vast majority have recovered,

I haven't seen any results of the WHO investigation scheduled for early May, other than here. That article seems to credit good monitoring as the reason for keeping the cases mild. Have I missed a WHO report?

What is the latest FT-concensus for this trend?

.
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

I haven't seen any results of the WHO investigation scheduled for early May, other than here. That article seems to credit good monitoring as the reason for keeping the cases mild. Have I missed a WHO report?

What is the latest FT-concensus for this trend?

.

WHO went to Egypt and was going to help them. I think the current confirmed case count is a result of better testing.
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

AlaskaDenise, I know that the current vaccine for the poultry is ineffective. I would like to know, when approximately the suspected and confirmed cases, came to a halt in the last 2-3 years...I believe they dried up around May? If so, this is a little concerning. Laidback Al made a post regarding this somewhere on FT's. And I agree. We are all looking for H1N1.
We should not forget H5N1.
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

AlaskaDenise, I know that the current vaccine for the poultry is ineffective. I would like to know, when approximately the suspected and confirmed cases, came to a halt in the last 2-3 years...I believe they dried up around May? If so, this is a little concerning. Laidback Al made a post regarding this somewhere on FT's. And I agree. We are all looking for H1N1.
We should not forget H5N1.

The pattern of human H5N1 infections in Egypt from 2006 to 2008 followed the pattern of seasonal influenza in the northern hemisphere. The frequency of confirmed human cases in Egypt would begin to rise starting in Sept-Oct and taper off by about April or May. The pattern of human infections of H5N1 in Egypt is very different this year.

The last confirmed case in the 2007-2008 flu season was in April of 2008. It was not until December of 2008 that the next human case was confirmed in Egypt for the 2008-2009 flu season. Instead of tapering off by now, we are actually seeing an increase in the number of confirmed cases over the past 60 days. The increasing infection rate in the off season for H5N1 in Egypt seems to be paralleling the off season increasing infection rate for the novel A(H1N1) that is spreading around the world.
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

WHO went to Egypt and was going to help them. I think the current confirmed case count is a result of better testing.
I doubt it. If they wanted better testing, they would test those without a poultry link. The more cases are due to widepsread infections and protective immunity in older residents.

The fact that all patients are five or younger indicates the testing is abysmal (and what would WHO do with widespread mild H5N1)?.
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

......... The pattern of human infections of H5N1 in Egypt is very different this year.

......... Instead of tapering off by now, we are actually seeing an increase in the number of confirmed cases over the past 60 days. The increasing infection rate in the off season for H5N1 in Egypt seems to be paralleling the off season increasing infection rate for the novel A(H1N1) that is spreading around the world.
Caused by???? A cool spring? Increased testing?

Do we have a recombined H5N1 (old H5 + novel H1N1 with PB2/627=E)?

.
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

i think in general more people are being pushed toward the hospitals by the media coverage within Egypt on this issue.I do know a total of eighteen hospitals are used for data collection and research areas between the local authorities and namru with that said.they often make little information public.

I think Egypt was being honest when they indicated the virus mutated and became more virulent and now shows some potential degree for resistance to tamiflu. were also well into the summer.

all the efforts and reporting are also not equal, as the two suspect cases reported yesterday one from assuit being a sixty year old women. in this case none of the normal actions were mentioned as being taken checking,cleaning or removing the local bird nesting or breding areas and or the visits to the other local houses or retail stores which handle live birds?

I understand all to well that within the rural areas, many would never rush into a doctors office or hospital do to the cost of services alone.then when you couple it with the very threat of your whole family unit being carted off. locked up, being held captive while tested. you cant very well work to provide for or feed the family unit. these types of actions can directly lead to and result in hidden cases and further under reporting.

I'm concerned, i suspect the worse is yet to come.

I think the real death rate is most likely being under reported, not by intent! but by the need to bury our dead. based on our traditions and culture especially in the real rural areas where things are still done very much the old way. for the most part ,any type of postmortem action/exam is the exception to the rule.which could and would most likely lead to the under reporting of deaths.
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

I doubt it. If they wanted better testing, they would test those without a poultry link. The more cases are due to widepsread infections and protective immunity in older residents.

The fact that all patients are five or younger indicates the testing is abysmal (and what would WHO do with widespread mild H5N1)?.

it could also indicate that a earlier recent outbreak took place and went un-noticed publicly about six years ago. and i would not be surprised, if this was the case.
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

I doubt it. If they wanted better testing, they would test those without a poultry link. The more cases are due to widepsread infections and protective immunity in older residents.

The fact that all patients are five or younger indicates the testing is abysmal (and what would WHO do with widespread mild H5N1)?.

I did not say testing is widespread. I think the testing is relatively better since WHO arrived. I think "mild" H5N1 has been around since 2007 with the children in Southern Egypt.

Now we are getting a look into what the problem is and probably has been for a while.
 
Re: Egypt: Confirmed H5N1 #80, 4 yo in Dakahliya

Russians picked up the story:
http://www.rian.ru/incidents/20090608/173629720.html

Google translation:
Four-year Egyptian caught avian flu
RIA Novosti Reuters
02:25 08/06/2009

CAIRO, June 8 - RIA Novosti, Nadim Zuaui. A new case of human infection with H5N1 reported in Egypt, told reporters the Egyptian Health Ministry official spokesman Abdel Rahman Shahin.

According to him, the doctors confirmed the diagnosis of avian influenza "at four-year girl from Dakhaliya.

It is currently receiving treatment drug Tamiflu, the patient is evaluated by doctors as stable.

Avian influenza first appeared in Egypt in 2006. Total H5N1 virus was detected in 80 people. At least 27 infected people died.

Cases of avian influenza infection recorded in both the north and south of the country. At the same time in the Egyptian resort towns, where the rest of foreign tourists, the H5N1 virus is not detected.

In recent months, most cases of human avian flu in Egypt, recorded in children. This fact became interested in the WHO, which calls for thorough consideration of this feature of the virus in Egypt.

In addition, 13 people were hospitalized on Sunday from Cairo International Airport with a suspected virus A/H1N1. This dangerous virus was found in Egypt only once. 12-year-old U.S. citizen, arrived in Egypt from Europe, was hospitalized on June 2, directly from the airport. After treatment she was discharged from hospital.
 
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