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EGYPT - Jan 2 - Jan 4, 2008

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Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

ACCKKK! Going into Theresa withdrawal. :surrender:

:tiphat: Thanks for all the wonderful work you do by the way. We are all incredibly grateful for your tireless efforts to keep us informed.
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Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

ACCKKK! Going into Theresa withdrawal. :surrender:

:tiphat: Thanks for all the wonderful work you do by the way. We are all incredibly grateful for your tireless efforts to keep us informed.


I feel the same way. Exactly.
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

Here is a map of the density of suspected human cases by Governorate as posted by Theresa42 in post #57 above.

Egypt suspected cases 20080103.jpg
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

I ll take this one : Al Masry Al Youm (Egypt Today)
I tried to make as you say.. it's very difficult to find avian influenza in arabic ( easier when there is a picture of poultry ) :)
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

Theresa42 wrote:

I'm going to be away from the computer almost all day tomorrow (yikes!)

I'll be able to track Indo tomorrow morning - but will be away from my computer after that until Sunday night.
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

Theresa42 wrote:



I'll be able to track Indo tomorrow morning - but will be away from my computer after that until Sunday night.


Thank you for everything that you do!!!

Commonground & Theresa42 withdrawal at the SAME TIME.

Life is not fair...........


:surrender:
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

*Ahem* Both of you unavailable at once shows exactly how vulnerable we are. All of us should take a whack at translating. (whack= attempt, American slang for you non-English speakers)

I'd like to invite some of you who read but never or, rarely post, to jump right in here and make a name for yourselves. Any and all help will be greatly appreciated.
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

*Ahem* Both of you unavailable at once shows exactly how vulnerable we are. All of us should take a whack at translating. (whack= attempt, American slang for you non-English speakers)

I'd like to invite some of you who read but never or, rarely post, to jump right in here and make a name for yourselves. Any and all help will be greatly appreciated.

I agree. Thanks Anne for volunteering.

Commonground - Are your sources listed in our H5N1 Monitoring forum?

I copied Theresa42's post and placed it there.


http://www.flutrackers.com/forum/forumdisplay.php?f=526
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

Commentary http://www.recombinomics.com/feed.xml

H5N1 Tamiflu Resistance Re-emerges in Egypt

Recombinomics Commentary 16:58
January 3, 2008

The WHO has said some of those who died having contracted the H5N1 virus strain showed moderate resistance to Tamiflu, the antiviral drug.

The above comments indicate N294S has re-emerged in the Egypt. Almost exactly one year ago N294S was detected in the Gharbiya cluster. It reduced the efficiency of oseltamivir (Tamiflu) by 15-20 fold and was characterized by WHO as having “moderate” resistance because another resistance marker, H294Y, reduces efficiency by 1000 fold in patients in Vietnam.

However, the effectiveness of Tamiflu in the treatment of H5N1 is borderline, so a twenty fold reduction can lead to fatal infections. Since there have only been four recent confirmed fatalities in Egypt, at least half have H5N1 with moderate resistance, which is almost certainly due to N294S.

Last year H5N1 sequences were generated from two of the three cluster members. Samples had been collected prior to Tamiflu treatment, as well as 48 hours after treatment started (A/Egypt/14724-NAMRU3/2006 and A/Egypt/14724-NAMRU3/2006,). All four NA sequences had N294S, indicating the change was already present in the H5N1, which was probably in birds, based on the epidemiology of the cluster.

The presence of N294S in birds was supported by two prior isolates from China, A/duck/Zhejiang/bj/2002(H5N1) and A/Duck/Hong Kong/380.5/2001(H5N1), which had the same change. The change was not found in a limited survey of bird isolates in Egypt, and was not detected in any of the subsequent human isolates.

However, the new fatal cases this season raise the possibility that N294S has returned, and the comments above suggest that this is the case, since “some” patients have “moderate” resistance.

It is not clear if these infections involve the Gharbiya strain, detected a year ago, or the Uva Lake strain which has appended the N294S onto a new genetic background via recombination.

Release of the human and bird sequences in Egypt would be useful.


.
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

BTW -- the fact that I'm going to be away all day has nothing to do with all the confirmed and suspected cases in Egypt at the moment. NOTHING at all! ;)

Really, it doesn't. I don't want anyone to think that it might. (Some people have already asked.) :)
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

*Ahem* Both of you unavailable at once shows exactly how vulnerable we are. All of us should take a whack at translating. (whack= attempt, American slang for you non-English speakers)
Yes! Very good point.

There are more sources and tips on searching for bf news in non-English language source in this thread -- note that some of it is getting a little outdated since website layouts, etc., do change:

http://www.flutrackers.com/forum/showthread.php?t=7100&page=2
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

Google-translated from Arabic:

D. Abdulrahman Shaheen Media adviser told mountain [Minister of Health]: the death of 44% of the infected cases .. The ministries of health and agricultural
Jan 4, 2008

Avi, who doubles

Increasing seriousness of bird flu in Egypt days after the other, in less than a week were 5 cases of the disease and four died under one case for treatment to increase its number of human infections to 43 cases from 19 cases and deaths, prompting Dr. Abdulrahman Shaheen spokesman for the Ministry of Health to recognize failure of the Ministries of Health and Agriculture in the fight against the disease, pointing out that this has happened to the lack of human cases since July 12 to December 24 last, and the perception of officials and citizens that the disease ended, and life continued normally.

Shaheen pointed out that one of the most important reasons for return of the disease activation decisions already taken by the National Committee for the control of avian influenza in full, and the words on resolutions "ink on paper", as well as the failure of the Agriculture Ministry's veterinary authorities to vaccinate all domestic birds and went to the vaccination rate 30% only in homes, farms exceeded more than 80%.

Shaheen said that during in 2006 to monitor 850 farms infected with the disease, while in in 2007 has been monitoring the disease infected 27 farms only because Test ranchers fear to achieve significant financial losses if not vaccinated poultry ..

Shaheen warned that the women are more vulnerable to infection because of dealing directly with the birds at home, where the number of virus-infected Alsidt H5N1 woman kept chickens about 41, and only two of the workers on the farms and most of the deaths among women aged 20 to 40 years and that the rate of death in Egypt for 44% of the total infected cases, the global rate of up to 60%.

Shaheen said that plantation owners who slaughter or sale of birds once feeling spread disease which increases the risk of injury, adding that ducks is the most serious of the remaining poultry because it does not show symptoms of the disease rapidly, and the ways influenza virus capable of concealing for a period of 3 months.

Dr. Shaheen, said that Egypt has the 2.5 million doses of medicine Altamflo [Tamiflu] only remedy for bird flu, pointing out that if its activities are addressed within 48 hours of discovery of injury, is not reported, so kill early in the injury of any suspected case of this disease provides an opportunity more curable, in the case of late things have come out of control especially as the virus is inhaled through the nose, when it is dangerous to the respiratory system of human beings must be placed on the respirator industry, and here is dangerous and less chances of recovery fully, pointing out that the drug free of charge in all distract outlets of the Ministry of Health, there are strict procedures for the disbursement of medicine so as not to turn real estate [the medicine] property for prevention rather than cure for that if citizens are taking the drug for prevention will happen severe shortage in the quantity of medicine and the fear is the second acquisition of the virus H5N1 immunity anti-medicine.

Shahin revealed that the highest Giza governorates of the republic vulnerable to the disease, as the number of suspected cases of the disease to 415 injury cases [totally since March 2006], and the Cairo governorate is ranked second in terms of Addd incidence of 406 cases in Kafr Al-Sheikh 363 case Menoufiya 322 case Damietta 236 cases.

Shaheen said that the Ministry of Health has proposed buying live poultry from citizens was to control the disease because the problem lies in the presence of the virus in domestic poultry because citizens Erbunha secret, for fear of her execution, particularly that many families depend on the birds as a principal source for the provision of animal protein because it can not buy meat.

Shaheen pointed out that the Ministry of Health has trained 13 thousand rural pilot for action against avian influenza through the transition leading from the house to another all over the country to educate housewives how to detect the disease and ways to deal with him, will the Ministry of Health and Population action awareness campaigns in the media such as: television, radio and newspapers to spread awareness among citizens because early notification of the disease speed up recovery.

http://www.elbadeel.net/index.php?option=com_content&task=view&id=8240&Itemid=33
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

Commentary http://www.recombinomics.com/feed.xml

H5N1 Tamiflu Resistance Re-emerges in Egypt

Recombinomics Commentary 16:58
January 3, 2008

The WHO has said some of those who died having contracted the H5N1 virus strain showed moderate resistance to Tamiflu, the antiviral drug.

The above comments indicate N294S has re-emerged in the Egypt. Almost exactly one year ago N294S was detected in the Gharbiya cluster. It reduced the efficiency of oseltamivir (Tamiflu) by 15-20 fold and was characterized by WHO as having ?moderate? resistance because another resistance marker, H294Y, reduces efficiency by 1000 fold in patients in Vietnam.

The only Google News search hits on "Tamiflu resistance" for 2008 come from an article that is published by IRIN, the UN Office for the Coordination of Humanitarian Affairs,
http://www.alertnet.org/thenews/newsdesk/IRIN/e16b256742e5f9fcce5e8fd753e9c35d.htm

That article says,

"The WHO has said some of those who died having contracted the H5N1 virus strain showed moderate resistance to Tamiflu, the antiviral drug."

That seems to be a paraphrasing of a quote from a prior BBC news report dated Monday, 31 December 2007, http://news.bbc.co.uk/2/hi/middle_east/7166152.stm
which stated,

"The World Health Organization announced early this year that some of those who had died in Egypt had been infected with a strain of the virus that was showed moderate resistance to the antiviral drug, Tamiflu."

That would seem to be in reference to last winter's H5N1 cases, not the current cases.

Are the current cases also confirmed to be Tamiflu resistant? Or is this assumption based on the IRIN article, which appears to have been based on the BBC article?

This should be addressed before speculation that the current Egypt cases are Tamiflu resistant becomes rampant.
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

Google-translated from Arabic:

Regional Coordinator of the FAO: in the interest of import bird flu vaccine instead of manufacturing?
Jan 4, 2008

Khalid, Ruba

Dr. "Student" [<< his name] criticized the regional coordinator for the production of animal health for the Near East FAO member of the Organization of the Supreme Committee for the control of avian influenza previously manner in which the government is dealing with the bird flu and said: It is wrong stressing that the disease confined least begin the inaction of government officials in combating and added: No serious oversight on the market hitter example of the chaos caused one of the vendors who broke through 50 ambush [check points] and veterinary officers moved poultry shipment of Sohag for sale in Alexandria. [That's practically from one end of the country to the other -- from south to north.]

A "Student" in his dialogue with the "Alternative" [the newspaper] that he presented proposals to confront the disease to the Higher Committee for avian influenza and were listeners him and they say good proposals and then not be implemented any of them saying that the adoption of the Egyptian poultry in the face of food makes the disease issue "national security" pointing out Egypt is the only country struggling bird flu without assistants to the doctor.

What causes the elimination of bird flu in Egypt so far?

Fear of birds, which is home Ikhvunha not give them to veterinarians to fortify [vaccinate] and therefore must compensate owners of domestic poultry compensation kind where compensate the poultry alternative-infected poultry is also one of the most important reasons for the spread of the disease is that when declining numbers infected begins inaction responsible for immunization, which leads to the spread of the disease again and therefore continue to be permanently in control and awareness campaigns Educational household, and there is a lack of control on the movement of poultry from one place to another within Egypt, and it is enough to know that a person with infected bird moved last year from Sohag passing to Alexandria Despite 50 ambush [check points] and veterinary officers to stop without one and there must be attention to control and monitor the ports of the country, there are regulations and laws to prevent the movement of infected animals from one place to another but not being implemented and this is something dangerous.

Submitted proposals to the Supreme Committee for the control of avian influenza has not been implemented, what reason?

Asked them to compensate the owners of domestic poultry to reassure the owner of these poultry in case of injuries immediately initiate himself to report also suggested that the agricultural research centres and veterinary prepare models bird houses in the countryside designed to format pages and simplified even plastic bottles produced from waste are many so these houses reduce the spread of the disease, all these proposals were heard and the government says it is good ideas but not Infdhu something which did not hear any of my proposals and proposals FAO, for reasons not informing.

Do you believe that the choice of the type of vaccine is essential in the fight?

Vaccines necessary attention to education but more importantly home and compensate people for losses incurred by them to encourage the reporting of injuries and sick must be the vaccine is serious and real and not talk to government officials Grayed.

Is Egypt is capable of manufacturing vaccine for avian influenza himself?

Institute of Abbasid vaccine known institutes in the world capable of manufacturing and Egypt should not depend on other countries in the fight against[/B] Egypt has 35 A veterinarian and veterinary medicine colleges for more than a hundred years and unfortunately still dependent on foreign organizations and therefore call on the Government to come out of international organizations calculations and depend on the potential and must state the size of Egypt not wait for aid from whether one million pounds or more, and this sale may not be what happened in Egypt from the death of three people in one day and it pains me deeply haram the deaths in such a short period.

There are said to benefit from the import vaccines from abroad, "Is this true?

Yes, there are beneficiaries and their interest in the non-manufacturing vaccine in Egypt and that this was Christsenhm and they fail me, but the truth.

Passengers .. Is the Egyptian veterinary doctor qualified to perform the best?

Veterinarians in Egypt, but the enormous better job badly compared with other Arab Fratb veterinary doctor in Iraq, for example - who live very difficult circumstances - a tenfold veterinary doctor in Egypt and therefore must be paid first veterinary physician Egypt is the only country which has no assistant doctor of veterinary doctor come in alone, without an assistant.

Is Egypt lacked the potential of control?

There States have ten potential Egypt but struggling better in the field of education home village of long-Egypt along the Nile, not like Indonesia, for example, which represents more than 20 islands and the disease is spreading faster than Egypt.

What is the importance of poultry in the world and in Egypt in particular?

Poultry represents 20% of the meat in the world, particularly in Egypt, there are 70 million Egyptian 50% of them depend on poultry, and the poorer, and the issue of poultry to Egypt Food security depends poultry 5 million families.

http://www.elbadeel.net/index.php?option=com_content&task=view&id=8239&Itemid=33
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

Google-translated from Arabic:

Egypt among the three countries in the world are heading for turning the disease into an epidemic
Jan 4, 2008

D. Sadiq Abdel-Al adviser and former Minister of Health:

Avi, who doubles

Disclosed Dr Abd Al-Sadiq, Advisor to the former Minister of Health and a member of the Committee on Health Policy honestly NDP, about the possibility that Egypt disaster and epidemic disease avian influenza within this year or next year and its transmission to humans, pointing out that the World Health Organization put Egypt among the three countries is "Indonesia and Vietnam and Egypt". This is due to three main reasons "community, environmental and behavioral" -- foremost presence about 95% of the Egyptians on an area not exceeding 5% of the total area of the country in addition to the proliferation of slums in Greater Cairo, adding that the environmental factor of the main reasons for the spread of the influenza. Egypt geographical location where one of the most important transit routes birds coming from the continent of Asia, Russia and Eastern China and Eastern Europe.

Abdel-Al said that the number of birds in Egypt with an annual estimated 2 million birds including 660 thousand water birds, and the most serious kinds of migratory birds "Ducks Alhurcer" because it is able to retain the virus for long periods. Added Dr. Abdel-Al, that the bad behavior of the Egyptians and to continue to educate poultry houses, and non-reporting of disease and injury is made about 5 million families on poultry as a principal source of protein out of 12 million families are in Egypt All of this has helped the spread of the disease.

He d. Abdel Al, that the Commission crisis Cabinet meeting held on 27 December last year to discuss ways to combat bird flu in the event turn into a pandemic and its transmission between humans, and after that Egypt States eligible for epidemiological, indicating that the virus H5N1 cause of bird flu move from the "pork and parrot [bird?] and cats" to humans, so the risk of a global epidemic in the coming years is on the table strongly, stressing that the Ministry of Health hired a factor chance America "research unit of America" in Egypt to an analysis of samples of human infection, to determine the validity of the results match factor The Egyptian Ministry of Health.

http://www.elbadeel.net/index.php?option=com_content&task=view&id=8238&Itemid=33
 
Re: EGYPT - Jan 2, 2008+

Re: EGYPT - Jan 2, 2008+

Interview with Egyptian WHO Representative, Dr. Zuhair Hallaj.

Google-translated from Arabic:

Zuhair Hallaj representative of the World Health Organization: million Egyptians are susceptible to flu
Jan 4, 2008

Birds .. And 150 thousand new cases are death

Who doubles Afaihdhir WHO representative in Cairo Zuhair Hallaj that nearly one million people in Egypt are susceptible to avian influenza virus during the year 2008 anticipated the death of about 150 thousand of them in the event of continuing failure of the Ministries of Health and Agriculture in the fight against the deadly epidemic [i.e. if there's an H5N1 pandemic].

Hallaj said in a dialogue with "Alternative" [the newspaper], the most important reason for the return of the spread of the disease in Egypt and the death of four cases during the past three months due to the lack of seriousness of the government in the fight against the disease, making Egypt ranked third in the world in terms of the seriousness of the virus after Indonesia and Vietnam.

It is known that Hallaj was one of the strongest proponents for the Egyptian government efforts to combat the virus.

What symptoms of avian influenza in humans?

Symptoms of the disease are fever, a cough and throat congestion, as well as pain in the muscles may occur complications such as eye inflammation and pneumonia.

What causes the spread of the disease in Egypt at that time?

This comes because of the activity of the virus H5N1 in winter and Ikhml summer, the virus is always ways to destroy poultry after, it is a viable 3 months, so must the focus of infection after the discovery of non-poultry in the same place again only after 3 months to ensure the eradication of the virus, and the mice deployed in most slum help transport Averos, ducks and poultry species is the most dangerous because it is exposed to infection quickly from the rest of the types of poultry.

Lost Ministry of Health to control the disease?

If Egypt lost control of the avian influenza during future periods [i.e. if there's an H5N1 pandemic] will be approximately a million people are injured during the year, the number of deaths was up to 150 thousand of them, and the organization expected the injury billion people contracted bird flu dies of them between 8 to 15 million annually.

What about the world situation to Egypt after the death of four cases in one week?

Egypt became in third place in terms of the spread of the disease after Indonesia and Vietnam, because of the failure of the ministries of health and agriculture in the last four months for the fight against the disease, and the citizens are exercising their lives normally, and the sale and purchase of birds and poultry in the home continues.

How can kill the virus?

Can be eliminated off the influenza virus after the stomach to eat in 56 degree Celsius temperature for 3 hours and 60 degrees for 30 minutes at 70 degrees and can be eliminated in minutes, it must be noted that the virus live in cold temperatures in contaminated manure for three months, in water for 4 days at temperatures 22 degrees Celsius for a period exceeding 30 days at a temperature of zero, and there are established procedures for the control of avian influenza infection is the rapid extermination of each infected birds, proper disposal of skeletons and strict disinfection and disposal of infection in the farms and the application of the ban on transport of live poultry within the State and between the States each other.

Returned to the spread of the virus strongly in Egypt this winter .. What happened?

The virus is spreading so rapidly through bird droppings and contaminated equipment, vehicles, food, cages, clothing and footwear could be carrying the infection from a farm to another, and the virus can be transmitted from animals legs and objects such as rodents operating vehicle for the spread of diseases, in addition to the market sold by living birds that are in the most crowded conditions.


Why all this interest in global disease avian influenza?

It is one of the most serious diseases facing humankind in recent years, and has great ability to deploy quickly, and there is a likelihood of a merger of the virus H5N1 cause of avian influenza with human influenza virus, and if this can turn the disease into a global epidemic [pandemic] reaps Millions of people because of the lack of immunity in humans of this type of virus and the absence of a taste for the virus prevention.

http://www.elbadeel.net/index.php?option=com_content&task=view&id=8237&Itemid=33
 
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