Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009 - April 9, 2009

[Giuseppe]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

WHO | Avian influenza - situation in Egypt - update 8

Avian influenza - situation in Egypt - update 8

23 March 2009 --

The Ministry of Health and Population, Egypt has reported a new confirmed human case of Avian Influenza.


The case is a 38-year old female from Elfath District, Assiut Governorate.

Her symptoms started with a fever and headache on March 14.

She was admitted to Assiut Fever Hospital on March 14 where she was started on oseltamivir the same day (March 14) and remains in a stable condition.

Infection with H5N1 avian influenza was confirmed on 18 March by the Egyptian Central Public Health Laboratory.

Investigations into the source of her infection indicate a history of close contact with dead and sick poultry prior to becoming ill.

Of the 59 cases confirmed to date in Egypt, 23 have been fatal.
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<cite cite="http://www.who.int/csr/don/2009_03_23a/en/index.html">WHO | Avian influenza - situation in Egypt - update 8</cite>

 

[Sally Furniss]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

38-year-old was hit by the bird flu virus H5 that 1 and a stable condition.

The organization said that the opening of the Center for the affected province of Asyut, about 400 kilometers south of Cairo, they complained of fever, headache, before entering the hospital on March 14 on the property where the current anti-virus Tamifir.

She added that Egypt became ill after contact with dead birds and infected Almasrp in the village in which they live and it was the ninth session, which become infected with bird flu in the country.

Since 2003 virus bird flu, 412 people in various parts of the world, killing 256, according to WHO data.

The HIV virus infects 5 to 1, but people do not move them. Scientists fear the virus could mutate to spread between humans, causing a pandemic that could kill millions.

He died in Egypt, 23 cases of cases of this disease and thus, ranked fourth in terms of the number of deaths from the disease after Indonesia, Vietnam and China.

The medical sources in the governorate of Assiut on Thursday called the infected Zainab Mustafa Abdul Rasul, and the central laboratory in Cairo, the Ministry of Health was unable to analyze the sample, including the U.S., as well as plants in Egypt.

A source said that a sample was sent to Britain for analysis.

A source in the governorate of Assiut said Abdul Rasul left the hospital on Monday and the governor Nabil Ezabi received in his office to check on the recovery of a similar nature.

http://www.masrawy.com/News/MidEast/Reuters/2009/March/23/747265.aspx?ref=rss

العالمية يوم الاثنين إن مصرية تبلغ من العمر 38 عاما أصيبت بفيروس انفلونزا الطيور اتش5ان1 وان حالتها مستقرة.

وقالت المنظمة إن المصابة من مركز الفتح بمحافظة أسيوط التي تبعد حوالي 400 كيلومتر الى الجنوب من القاهرة وانها اشتكت من حمى وصداع قبل دخولها المستشفى يوم 14 مارس اذار الحالي حيث تناولت العقار المضاد للفيروس تاميفير.

واضافت أن المصرية مرضت بعد مخالطة طيور نافقة وأخرى مصابة في قرية المعصرة التي تعيش فيها وانها الحالة التاسعة والخمسون التي تصاب بمرض انفلونزا الطيور في البلاد.

ومنذ عام 2003 أصاب فيروس مرض انفلونزا الطيور 412 شخصا في مختلف أنحاء العالم توفي منهم 256 بحسب بيانات منظمة الصحة العالمية.

ويصيب الفيروس اتش5ان1 البشر لكنه لا ينتقل بينهم. ويخشى علماء أن يتحور الفيروس لينتقل بين البشر مما قد يتسبب في وباء يمكن أن يقتل الملايين.

وتوفي في مصر 23 حالة من الاصابة بهذا المرض وبذلك تحتل المركز الرابع من حيث عدد الوفيات بالمرض بعد اندونيسيا وفيتنام والصين.

وقالت مصادر طبية في محافظة أسيوط يوم الخميس ان المصابة تدعى زينب مصطفى عبد الرسول وان المعامل المركزية بوزارة الصحة في القاهرة تعذر عليها تحليل العينة المأخوذة منها وكذلك معامل أمريكية في مصر.

وقال مصدر ان عينة أرسلت الى بريطانيا لتحليلها.

وقال مصدر في محافظة أسيوط ان عبد الرسول غادرت المستشفى يوم الاثنين وان المحافظ نبيل العزبي استقبلها في مكتبه للاطمئنان على تماثلها للشفاء.
هذا المحتوى من

 

[AlaskaDenise]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Commentary

http://www.recombinomics.com/News/03230901/H5N1_Egypt_H274Y.html

Commentary

H5N1 Cases in Egypt Raise Tamiflu Resistance Concerns

Recombinomics Commentary 16:51
March 23, 2009

Woman, age 38, began experiencing fever and headache March 14. She was admitted to Assiut Fever Hospital and given Tamiflu on March 14. Infection with avian influenza was confirmed March 18. The woman reported contact with dead and sick poultry. She was reported clinically free and in a good general condition on March 18.

The above detail on the most recent confirmed case in Egypt raises concerns that a mild H5N1 is circulating in Egypt at levels markedly higher than the reported cases. H5N1 testing is usually limited to symptomatic cases with a recent history of exposure to dead or dying poultry. Thus, if the above case had denied contact, hospitalization and testing would be unlikely and the symptoms could be mistaken for seasonal flu. Others may not seek medical attention and assume that the H5N1 infection is a mild infection not requiring medical attention.

None of the eight confirmed cases in 2009 in Egypt have died. Only one was in critical condition. The other seven had a mild course. Milder H5N1 likely leads to more exposure of others, because the patient is not immediately hospitalized and isolated. The increased exposure would not only the increase the likelihood of infecting others, but would also increase the likelihood of a second infection with H1N1 seasonal flu, which is almost exclusively Tamiflu resistant.

Tamiflu treatment of a patient co-infected with H5N1 and H1N1 carrying H274Y would apply pressure toward the transfer of H274Y from the H1 on H1N1 to the H1 on H5N1, either via reassortment or recombination. In seasonal flu, both transfers have been reported, raising concerns of similar exchanges between H1N1 and H5N1.

H274Y has been reported to have been independently introduced onto three H1N1 sub-clades that have been recently circulating. Moreover, the level of H274Y in the most widely circulating sub-clade (clade 2B - Brisbane/59) has increased to levels approaching 100%.

Thus, the high levels of H274Y in H1N1, coupled with increased circulation of H5N1 in human populations in Egypt raises serious concerns about the emergence of Tamiflu resistant H5N1 that is more efficiently transmitted in human populations.

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[Giuseppe]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

[WARNING: Google Raw Machine Translation from Egyptian to English. Original text at http://www.spa.gov.sa/popdetails.php?id=648210&catid=3. EDITED.]

Cairo, 29 Jun e 1430, corresponding to March 26, 2009 WAS

The Ministry of Health and Population, Egypt's emergence from No. 60 human infection of bird flu, a girl from the village of Dandara in Qena, Upper Egypt.

Said the official spokesman for the Ministry of Health in Egypt Abdel-Rahman Shahin said in a statement today that the onset of symptoms on the girl child Israa Said Shafi / two and a half / was entered on Monday admitted to hospital suffering QENA rise in temperature and a cough after exposure to dead birds suspected of being infected with bird flu ..

He pointed out that he was given the drug on the disease and in stable condition now.
/ / End / / TM 2030
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[ARABIC]

القاهرة 29 ربيع الأول 1430هـ الموافق 26 مارس 2009م واس
أعلنت وزارة الصحة والسكان المصرية اليوم عن ظهور الإصابة البشرية رقم 60 بمرض أنفلونزا الطيور لطفلة من قرية دندرة بمحافظة قنا بصعيد مصر.
قال المتحدث الرسمي لوزارة الصحة المصرية عبد الرحمن شاهين في تصريح له اليوم إن بداية ظهور الأعراض المرضية على الطفلة إسراء سعيد عبدالشافى / سنتين ونصف / كانت يوم الاثنين الماضي دخلت على أثرها مستشفى حميات قنا وهى تعاني ارتفاعا في درجة الحرارة وسعال عقب تعرضها لطيور نافقة يشتبه في إصابتها بمرض أنفلونزا الطيور.. مشيرا إلى انه تم إعطائها العقار الخاص بالمرض وان حالتها الصحية مستقرة الآن.
// انتهى // 2030 ت م
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[Gert van der Hoek]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Google translated

Minya detained two in hospital for suspected bird flu

Date: Thursday, March 26, 2009

Alepeshaer - Mahmoud soldier:

Dr. Ayman Ragab, Undersecretary of the Ministry of Health and Chairman of the Chamber of follow-up of bird flu on the reservation, it was decided two hospitals admitted Menya, the emergence of symptoms of bird flu.

Where he was detained by the Jiryes Ayad Jiryes "45 years" the village of Kom teacher assesses the status of the green bell, and the child, Abdul Rahman Mohamed, "9 years" from the village of Maghagha Agafadp and they seem to bird flu symptoms of very high and constant temperature, and some marks on the tongue.

When the view of the lack of response by the hospital for treatment of influenza disease would be arrested by regular away from the rest of the hospital patient's blood sample was withdrawn from each of them and send them to factor analysis of central Cairo.

http://elbashayeronline.com/?page=viewn&nid=44265

 

[HenryN]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

<table border="0" cellpadding="0" cellspacing="0" width="100%"><tbody><tr><td class="NewsDetailsTitle">Egypt declares 60th Bird Flu case </td> </tr> <tr> <td>
</td> </tr> <tr> <td class="NewsDetailsCategory">Health 3/26/2009 9:28:00 PM</td> </tr> <tr> <td> </td> </tr> <tr> <td class="ArticleDetails"> <table class="ImageFloat" align="left" cellpadding="0" cellspacing="0"> <tbody><tr> <td>
</td> </tr> <tr> <td id="tdCaption" class="pictureCaption" align="center" width="180">
</td> </tr> </tbody></table> CAIRO, March 26 (KUNA) -- An Egyptian girl has been infected with the Bird Flu virus, bringing the number of these cases in the country to 60.
A spokesman of the Health Ministry said on Thursday Israa Abdel Shafi, aged two years and six months, was hospitalized in the province of Qina in southern Egypt.
The girl suffered from high fever and coughing after she mingled with dead birds suspected of bearing the virus. Her condition was described as stable after she given the required medications.
Egypt declared flare-up of the disease in February 2006. Up to 22 people had died as a result of the disease. (end) bna.rk KUNA 262128 Mar 09NNNN

http://www.kuna.net.kw/NewsAgenciesPublicSite/ArticleDetails.aspx?id=1986027&Language=en
</td></tr></tbody></table>

 

[HenryN]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Another confirmed case, another toddler between the ages of 1 1/2 and 2 1/2, and another quick recovery.

 

[Laidback Al]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

. . . and another case that was not reported in the media until the Health Ministry confirmation.

 

[HenryN]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

. . . and another case that was not reported in the media until the Health Ministry confirmation.

Yes, the cases in Egypt are quite consitent and the CFR tends to go in streaks (which has produced a CFR of ZERO in 2009).

 

[Sally Furniss]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

CAIRO - Editor Masrawy - Dr. Abdel Rahman Shahin, official spokesman of the Ministry of Health No. 60 of human infection from bird flu was confirmed on Thursday night to a girl named Israa Said Shafi at the age of two years and six months of Nejj Abushok Center Dandara governorate of Qena.

Shaheen added that the onset of symptoms, they were on Monday, entered the hospital admitted to Qena on Tuesday, with high fever and cough after exposure to dead birds suspected of being infected with bird flu.

He said that as soon as the suspicion of being infected with the disease were given the drug Tamiflu, a stable and satisfactory condition.

The Health Department warned of complacency in the implementation of the plan to combat bird flu.

Said Dr. Hatem el-Gabali, Minister of Health and Population that while the international organizations in Egypt in all its experience to face the bird flu under control, this does not mean we have eliminated the disease, which is still in its strength and fear it could mutate and spread from human to human and human pandemic occur here, which may take the lives of millions of people and caused economic losses estimated Baltreionat of dollars.

He stressed the need for caution mountain addressing all segments of Egyptian society, particularly those dealing directly with the live birds, and that does not call for the prevention of breeding birds at home it is a source of income for the Egyptian family, especially in rural areas, but follow the instructions call for sound health in dealing with birds.

The mountain has been confirmed that the mortality rate among infected humans in Egypt are still lower than the ratios in the world amounted to about 41% against 60% of the global rate.

As the Ministry of Health in Egypt since its outbreak in Egypt to declare any casualties on confirmation of positive results when tested by the Ministry's central labs .. It also emphasizes that it is dealing with the issue of avian influenza in all transparent and explicitly does not hide any information.

http://www.masrawy.com/News/Egypt/Politics/2009/march/26/flue.aspx?ref=rss

 

[HenryN]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Egyptian girl contracts bird flu - WHO
27 Mar 2009 08:33:59 GMT
<!-- 27 Mar 2009 08:33:59 GMT ## for search indexer, do not remove --> Source: Reuters

<!-- AN5.0 article title end --> <script language="JavaScript" src="http://www.alertnet.org/bin/js/article.js"></script> <input value="13" name="CurrentSize" id="CurrentSize" type="hidden"> <!-- Egyptian girl contracts bird flu - WHO --> <!-- Reuters --> CAIRO, March 27 (Reuters) - A 30-month old Egyptian girl has contracted the bird flu virus, bringing the number of avian flu cases in the country to 60, a World Health Organisation spokesman said on Friday. The girl, from the southern Egyptian province of Qena, was taken to a hospital after showing symptoms of fever on Monday, the WHO spokesman told Reuters. Egypt is one of the few countries affected by bird flu that does not compensate farmers when poultry is destroyed, though many experts say this is the best way to ensure rapid detection of new outbreaks. Twenty-three Egyptians have died after contracting the virus, with many of the reported cases involving domestic poultry which some 5 million households depend on as a main source of food and income. Since 2003, the H5N1 avian influenza virus has infected at least 410 people in 15 countries and killed 254 of them. It has killed or forced the culling of more than 300 million birds in 61 countries in Asia, the Middle East, Africa and Europe. While H5N1 rarely infects people, experts fear it could mutate into a form that people could easily pass to one another, sparking a pandemic that could kill millions. (Reporting by Will Rasmussen; writing by Alastair Sharp)

http://www.alertnet.org/thenews/newsdesk/LR125059.htm

 

[HenryN]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Updated map

http://maps.google.com/maps/ms?ie=U...d=106484775090296685271.00045e1b927e68d58eab0

 

[HenryN]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Commentary

http://www.recombinomics.com/News/03270901/H5N1_Egypt_Toddler_9.html

 

[AlaskaDenise]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Commentary

http://www.recombinomics.com/News/03270901/H5N1_Egypt_Toddler_9.html

Commentary

Another H5N1 Confirmed Toddler in Egypt

Recombinomics Commentary 13:40
March 27, 2009

bird flu was confirmed on Thursday night to a girl named Israa Said Shafi at the age of two years and six months of Nejj Abushok Center Dandara governorate of Qena.

onset of symptoms, they were on Monday, entered the hospital admitted to Qena on Tuesday, with high fever and cough after exposure to dead birds suspected of being infected with bird flu.

Her condition was described as stable after she given the required medications.

The above comments describe another H5N1 confirmed toddler in Egypt (see updated map) that appears to be mild. Although this is the ninth confirmed case in 2009, none have died. Most appear to be mild, and pneumonia is not indicated. The prior case was symptomatic for four days.

These mild cases are similar to reports in the spring of 2007, when 16/17 cases recovered. However, the case fatality rate last year, and cases in late 2006 / early 2007 was high, suggesting the mild cases were due in part to the sequence of the H5N1. Sequences from this season have not been released, but in 2007 the vast majority of the recovered cases were infected with H5N1 with a Mongolian cleavage site or a 3 BP deletion.

This year, 8 of the 9 cases were between 1 ? and 2 ? years of age, raising concern that H5N1 are more widespread and infections of other age groups are not reported because these milder cases are not tested.

Release of sequences from patients and poultry this season would be useful.

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[AlaskaDenise]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

.....suggesting the mild cases were due in part to the sequence of the H5N1. Sequences from this season have not been released, but in 2007 the vast majority of the recovered cases were infected with H5N1 with a Mongolian cleavage site or a 3 BP deletion.

Why is the Mongolian sequence mild?

Taken from June 12, 2007 Recombinomics commentary here......

The confirmation of mild cases raised concerns, because such cases would be easily missed.

This rapid reversion raises concerns that the evolution of the H5N1 linked to mild cases may become more virulent.

...raises concerns that the number of H5N1 cases may be significantly higher than indicated in the confirmed totals.

See also here.


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[Gert van der Hoek]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

The first fatal H5N1 Case in 2009

45 days old ?Basmallah" Mohamed Rabi?? died yesterday in the Fayoum general hospital because of H5N1, the baby girl could not be rescued especially that she was admitted to the hospital 24 hours before her death.

The poor baby had a very weak immunity system compared to the virus. It could not resist it

Already I wonder how the hell this little baby contacted infect poultry !!! Did her mother carry her around the house or what ??

May God give strength to her parents and family.

Basmallah was No. 61 I believe among the human infection case and No.24 in the death toll in Egypt.

I hope Basmallah would be the last fatal case in Egypt.

There are several suspicion cases across the country announced from this week but without confirmation of their infection and this is why I do not publish any news.

New hot spots are discovered mainly in Delta on a regular basis now.

http://egyptianchronicles.blogspot.com/

 

[HenryN]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Why is the Mongolian sequence mild?

Taken from June 12, 2007 Recombinomics commentary here......





See also here.


.

The cleavage site can affect tissue tropism and limit spread. The mild cases in Vietnam in 2005 also had an altered cleavage site,

 

[HenryN]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

The first fatal H5N1 Case in 2009

45 days old ?Basmallah" Mohamed Rabi?? died yesterday in the Fayoum general hospital because of H5N1, the baby girl could not be rescued especially that she was admitted to the hospital 24 hours before her death.

The poor baby had a very weak immunity system compared to the virus. It could not resist it

Already I wonder how the hell this little baby contacted infect poultry !!! Did her mother carry her around the house or what ??

May God give strength to her parents and family.

Basmallah was No. 61 I believe among the human infection case and No.24 in the death toll in Egypt.

I hope Basmallah would be the last fatal case in Egypt.

There are several suspicion cases across the country announced from this week but without confirmation of their infection and this is why I do not publish any news.

New hot spots are discovered mainly in Delta on a regular basis now.

http://egyptianchronicles.blogspot.com/

Like the two cases in Cairo which were not confirmed, there is no link or source confirming the above fatality.

 

[Gert van der Hoek]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Like the two cases in Cairo which were not confirmed, there is no link or source confirming the above fatality.

Yes, handle with care.

 

[Gert van der Hoek]

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Re: Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009+

Snip from almasry-alyoum.com

In Fayoum, Dr. Hussein Sophie Abutaleb, Under-Secretary, Ministry of Health, the death of the girl child بسملة Mohammed ?45 days? Tamiflu drug in a hospital after being transferred from the hospital yesterday evening fevers Fayyoum I, on suspicion of being infected with the disease, explaining that he had been sampled and sent to central laboratories, but they died before the results of the analysis, pointing out that the samples were withdrawn from her family as a precaution.

http://translate.google.com/transla...masry-alyoum.com/&sl=ar&tl=en&history_state0=

credits Helblindi