• FluTrackers.com Inc. does not provide medical advice. Information on this web site is collected from various internet resources, and the FluTrackers board of directors makes no warranty to the safety, efficacy, correctness or completeness of the information posted on this site by any author or poster. The information collated here is for instructional and/or discussion purposes only and is NOT intended to diagnose or treat any disease, illness, or other medical condition. Every individual reader or poster should seek advice from their personal physician/healthcare practitioner before considering or using any interventions that are discussed on this website. By continuing to access this website you agree to consult your personal physican before using any interventions posted on this website, and you agree to hold harmless FluTrackers.com Inc., the board of directors, the members, and all authors and posters for any effects from use of any medication, supplement, vitamin or other substance, device, intervention, etc. mentioned in posts on this website, or other internet venues referenced in posts on this website.
  • We are not asking for any donations. Do not donate to any entity who says they are raising funds for us.

Egyptian govt reports 2 human bird flu cases

Sharpe

Sharpe

Senior Moderator
Further information awaited.

http://www.ynetnews.com/articles/0,...netnews.com/articles/0,7340,L-3343646,00.html
2 Egyptians infected with bird flu
<table border="0" cellpadding="0" cellspacing="0"><tbody><tr><td class="text12g"> Published: </td><td class="text12g">12.23.06, 22:17 </td></tr></tbody></table>
<script>var agt=navigator.userAgent.toLowerCase();var is_major = parseInt(navigator.appVersion);var is_ie = ((agt.indexOf("msie") != -1) && (agt.indexOf("opera") == -1));var is_ie5 = (is_ie && (is_major == 4) && (agt.indexOf("msie 5.0")!=-1) ); function txt_link(type,url,urlAtts) { switch (type){ case 'external' : if( urlAtts != '' ) {var x = window.open(unescape(url),'newWin',urlAtts)} else {document.location = unescape(url);} break; case 'article' : urlStr = '/articles/0,7340,L-to_replace,00.html';url=urlStr.replace('to_replace',url); if( urlAtts == '' || !urlAtts) {document.location = url;} else {var x = window.open(url,'newWin',urlAtts)} break; case 'yaan' : urlStr = '/yaan/0,7340,L-to_replace,00.html';url=urlStr.replace('to_replace',url); if( urlAtts == '' || !urlAtts) {document.location = url;} else {var x = window.open(url,'newWin',urlAtts)} break; case 'category' : urlStr = '/home/0,7340,L-to_replace,00.html'; url=urlStr.replace('to_replace',url); if( urlAtts == '' || !urlAtts) {document.location = url;} else {var x = window.open(url,'newWin',urlAtts)} break; } } function setDbLinkCategory(url) {eval(unescape(url));}</script> Egyptian health authorities reported that two more people were infected with the bird flu virus (H5N1). The two apparently contracted the disease after coming in contact with infected ducks.

The number of infected Egyptians has now reached 17; seven of them have died from the disease. (AFP)
 
Re: Egyptian govt reports 2 human bird flu cases

More information. Patients from Hanut, Gharbiya.

http://news.yahoo.com/s/afp/20061223/wl_mideast_afp/healthfluegypt&printer=1
Egypt reports two new human cases of bird flu

38 minutes ago

Two Egyptians were taken to hospital after testing positive for the deadly H5N1 strain of bird flu in the central Nile delta region, the health ministry said.

The latest cases brings to 17 the total number of Egyptians infected, including seven who were killed by the virus.

The two Egyptians from the village of Hanut in the Gharbiya governorate contracted the disease after coming into contact with infected ducks they had been rearing in their homes, according to a ministry statement carried by the official MENA agency.

All the birds in the house and in neighbouring homes were slaughtered and the area disinfected, MENA said.

Egypt -- the Arab world's most populous state -- is on a major route for migratory birds and has seen the third highest number of H5N1 cases after Indonesia and China according to Dr David Nabarro, the UN official charged with battling bird flu.

The H5N1 strain of bird flu was first diagnosed in birds in Egypt in February, and the first case in humans was announced on March 18.

In its most aggressive form, the H5N1 strain has killed 154 people worldwide, according to the World Health Organisation (WHO).
 
Re: Egyptian govt reports 2 human bird flu cases

Commentary

H5N1 Confirmed in Two New Egyptian Patients
Recombinomics Commentary
December 23, 2006


The two Egyptians from the village of Hanut in the Gharbiya governorate contracted the disease after coming into contact with infected ducks they had been rearing in their homes, according to a ministry statement carried by the official MENA agency.

The above description of two confirmed H5N1 cases is cause for concern. These two patients are from the same governate as the first confirmed case for this season. H5N1 from that case had many of the Egyptian associated polymorphisms seen in February 2006 human and bird isolates from Egypt.

However, the more recent isolate had several additional polymorphisms, including M230I, which is found in all human strains of influenza (H3N2, H1N1, and Influenza B). Moreover, the new acquisition creates of region of identity (QSGRI) at positions 226-230 in Influenza B.

The earlier isolate also has many additional polymorphisms that are found in isolates from Europe and western Africa, signaling additional recombination and acquisition of new polymorphisms circulating in the area. Recent reports describe additional receptor binding domain changes which increase the affinity for human receptors, including S227N in Egypt and Turkey, N186K in Azerbaijan, and N186S and Q196R in Iraq. Although these countries have not reported H5N1 this season, reports of H5N1 in Ukraine, Egypt, Sudan, and Nigeria signal new migration of H5N1 into the region, which has also been recently reported in South Korea and southern Vietnam. These new outbreaks signal migration of new H5N1 sequences into these regions.

Surveillance remains poor and transparency is becoming increasingly suspect.

Release of the recent sequence by US NAMRU3 has set an excellent example for this season. Release of H5N1 from the two new cases as well as poultry and wild birds in the region by Egypt and neighbors would be useful.
 
Re: Egyptian govt reports 2 human bird flu cases

Sharpe said:
More information. Patients from Hanut, Gharbiya.

http://news.yahoo.com/s/afp/20061223/wl_mideast_afp/healthfluegypt&printer=1
Egypt reports two new human cases of bird flu

38 minutes ago

Two Egyptians were taken to hospital after testing positive for the deadly H5N1 strain of bird flu in the central Nile delta region, the health ministry said.

The latest cases brings to 17 the total number of Egyptians infected, including seven who were killed by the virus.

The two Egyptians from the village of Hanut in the Gharbiya governorate contracted the disease after coming into contact with infected ducks they had been rearing in their homes, according to a ministry statement carried by the official MENA agency.

All the birds in the house and in neighbouring homes were slaughtered and the area disinfected, MENA said.

Egypt -- the Arab world's most populous state -- is on a major route for migratory birds and has seen the third highest number of H5N1 cases after Indonesia and China according to Dr David Nabarro, the UN official charged with battling bird flu.

The H5N1 strain of bird flu was first diagnosed in birds in Egypt in February, and the first case in humans was announced on March 18.

In its most aggressive form, the H5N1 strain has killed 154 people worldwide, according to the World Health Organisation (WHO).
Click to expand...
A "new hotbed of avian influenza" in Al Gharbiya was mentioned in Al Wafd on Dec 10th -- the report specifically mentioned ducks, so I'm guessing this is the same incident. In the newspaper report, though, it sounded like any people who had been tested tested negative:
Google-translated from Arabic:

New hotbed of avian influenza enough
Dec 10, 2006

Mustafa wrote: Sanaa announced the Supreme Committee for avian flu headed by Dr. Hatim al-Jabali, minister of health and population emergence of a new hotbed of avian influenza in the province of Western [I think this is Al Gharbiyah] and injured birds included home village Aldjomon stab Zayyat, and the teams of the Ministry of Health and veterinary services, police called in to destroy infected birds and poultry-breeding places clean. Also check Almkhalten pen and ducks injured were sent samples to labs central Ministry of Health.

It also announced that the safety of human cases infected suspected cases of avian flu and Almkhalten of birds Navqh, following the results of the samples negative for the disease ...

http://www.flutrackers.com/forum/showpost.php?p=53737&postcount=4
Click to expand...
Thanks for posting the news, Sharpe!
 
Family cluster - 2 cousins test pos - another sibling suspected case

Family cluster - 2 cousins test pos - another sibling suspected case

Looks like there are (at least) 3 individuals involved in this cluster -- two male cousins aged 15 and 25 who have tested positive -- and a sister of one of the confirmed cases:

Hospitalized Dec 17:
Farid Abdul Halim's victory (30F?) - suspected case
brother - Reda Farid (25M) - H5N1 pos

Hospitalized Dec 20:
cousin of the 2 above - Shafika Farid (15M) - H5N1 pos


Machine-translated from Arabic:

The injury of a young man and his cousin with "my wedding procession" by the bird flu
Dec 24, 2006

Tanta - Atef Deibis: The Ministry of Health laboratories revealed the injury of a young man "25 years" and his cousin 15 years with "my wedding procession" [I'm guessing this is the name of the village that they're from] by the bird flu disease and have been transferred yesterday to the hospital of the Abbasid fevers and with them the sister of the first injured and who has been detained under the suspicion.

The Health Department by the western has detained in 17 December Farid Abdul Halim's victory 30 years and its brother Reda 25 years in "my wedding procession" fevers hospital and in 20 December detained their cousin Shafika Farid 15 years under the suspicion and taking samples took place from them for its sending to the ministry laboratories. Revealed yesterday due to the examination of conditions Reda Farid's injury and his cousin Shafika by the bird flu disease which led to causing a panic and the fear of citizens and especially after the detention of two new conditions took place in Tanta [I think this means 2 more suspected cases, in addition to the 3 in the Farid family] and the district and immediately stood Doctor Al Sayed Al Husseini the Ministry of Health deputy and sublime opened the door center president and "my wedding procession" city with the formation of a committee for the examination of all contacts and the execution of birds in the scope of half kilo from the injury focus and taking samples from all of the contacts in the village of "a shop disbelief".

And a condition of the panic dominates after the discovery of positive cases to the bird flu disease and the local council of the governorate demanded the necessity of emphasizing on the closure of selling shops the adder and that was still open until now despite the presence of a decision with the ban and the discussion of the alive birds in the markets.

http://www.alwafd.org/v2/News/NewsD...st&PHPSESSID=13b61c580a107e6d9e5a3b1b811b081b
 
Last edited:
Re: Egyptian govt reports 2 human bird flu cases

niman said:
Tanta is in the Gharbiya govenorate also

http://encarta.msn.com/encnet/features/mapcenter/map.aspx?TextLatitude=39.45&TextLongitude=-98.907&TextAltitude=0&TextSelectedEntity=39070&SearchEnc=false&MapStyle=Comprehensive&MapSize=Small&MapStyleSelectedIndex=0&searchTextMap=TANTA&MapStylesList=Comprehensive&ZoomOnMapClickCheck=on&text=Search+Shopping&prtnrId=8&prtnrdata=7429810870
Click to expand...
Yes -- so it looks like these patients were first in Tanta hospital and when they tested pos they were transferred to Abbasid Fevers Hosp (I think that's in Cairo).

Their village >>
Kafr Hanut:
http://www.indexmundi.com/z/?lat=30.78&lon=31.2291667&t=p&r=5060&p=kafr_hanut&cc=eg&c=egypt
 
Re: Egyptian govt reports 2 human bird flu cases

niman said:
Commentray at

http://www.recombinomics.com/News/12230602/H5N1_Egypt_Cluster.html
Click to expand...

Commentary

H5N1 Familial Cluster in Nile Delta Raises Concerns
Recombinomics Commentary
December 23, 2006

Tanta - Atef Deibis: The Ministry of Health laboratories revealed the injury of a young man "25 years" and his cousin 15 years with "my wedding procession" by the bird flu disease and have been transferred yesterday to the hospital of the Abbasid fevers and with them the sister of the first injured and who has been detained under the suspicion.

The Health Department by the western has detained in 17 December Farid Abdul Halim's victory 30 years and its brother Reda 25 years in "my wedding procession" fevers hospital and in 20 December detained their cousin Shafika Farid 15 years under the suspicion and taking samples took place from them for its sending to the ministry laboratories. Revealed yesterday due to the examination of conditions Reda Farid's injury and his cousin Shafika by the bird flu disease which led to causing a panic and the fear of citizens and especially after the detention of two new conditions took place in Tanta

The above translation indicates the two H5N1 confirmed cases are cousins and were hospitalized three days apart. The index case (25M) was hospitalized December 17 and his cousin (15M) , hospitalized December 20 have confirmed H5N1. The sister of the index case has also been hospitalized with symptoms. There appear to be two more suspect cases hospitalized, indicating the three member familiar cluster may be part of a five member geographical cluster.

Clustering in the same Gharbiya govenorate as the earlier case is cause for concern. The current cluster as well as the initial case had linkages to ducks and the H5N1 from the first case had M230I. This polymorphism is found in all three strains of human flu (H3N2, H1N1, and influenza B), all of which are efficiently transmitted human-to-human. The earlier H5N1 is an exact match with positions 226-230 influenza B (QSGRI). The first indication of efficient transmission is a familial cluster, as described in the translation above.

More details on condition of the sister and any relationship with the other two hospitalized patients would be useful (as would tesing and sequencing updates).

.
 
Re: Egyptian govt reports 2 human bird flu cases

Theresa42 said:
Yes -- so it looks like these patients were first in Tanta hospital and when they tested pos they were transferred to Abbasid Fevers Hosp (I think that's in Cairo).

Their village >>
Kafr Hanut:
http://www.indexmundi.com/z/?lat=30.78&lon=31.2291667&t=p&r=5060&p=kafr_hanut&cc=eg&c=egypt
Click to expand...

The distance between the current cluster and the earlier case with M230I is only about 12 miles, as the migratory birds fly down the Nile.
 
Re: Egyptian govt reports 2 human bird flu cases

Another translation

Injury of youth and daughter of wandering in asphalts [b'anflwnzaa] the birds

[TnTaa] Atif [de'bs]:
Treated ministry of the health discovered injury of youth? 25 year ?and daughter of wandering 15 year in asphalts in illness of influenza the birds and their transfer was complete yesterday to hospital of feverish [aale'baasyt] and with them sister stricken first and which retention under the suspecting was complete her.

Directorate of the health in the Westerner was detained on December 17 unique triumph AbdulHalim 30 year and her brother accepted 25 feverish year in hospital adequate asphalts December 20 their daughter detained of uncle [shfyqt] unique 15 year under the suspecting and taking of samples are complete from them for sending her for factories of the ministry.

Their her samples of blessing for sending for treated of the ministry. Discovered yesterday result examination of the cases is unique injury of satisfaction and daughter of wandering [shfyqt] in illness influenza of the birds [mmaa] ['adY] ['ilY] excitement of fear and fear of the citizens and regards after retention cases of new was complete in [TnTaa] and the district, ibexes effervescent medals opening of the door rose the sovereign doctor Al-Husseini agent ministry of the health concentrated head and asphalt city in formation of committee to examined all [aalmxaalTyn] and execution of the birds in range of half kilo from center of the injury and taking of samples from all [aalmxaalTyn] bovine hamlet [Haanwt].

The emphasis on locking reigns positive case from the fear after discovery of cases for illness influenza of the birds and local student the council for the preservation necessarily sweetened live selling the birds and which [maazaalt] open still in spite of presence of decision in prohibition and circulating the live birds in the markets
 
Re: Egyptian govt reports 2 human bird flu cases

niman said:
Commentary at

http://www.recombinomics.com/News/12230603/H5N1_Egypt_RBD.html
Click to expand...
Commentary

Co-Circulation of Qinghai H5N1 RBD Changes in Nile Delta

Recombinomics Commentary
December 23, 2006

The report of a growing H5N1human cluster in the Nile Delta is cause for concern. The first case for this season in the region was a patient who live 12 miles north of the current cluster. That patient was hospitalized at the end of September and was confirmed in the middle of the month. Within days of the confirmation, the HA sequences was deposited at GenBank by US NAMRU3, the US Naval Research lab in Cairo. The sequence produced evidence for evolution via recombination. The Egyptian regional polymorphisms defined last season when human isolates were reported in February. The recent isolate also had a number of additional polymorphism which were in other Qinghai isolates in Europe and Africa.

The acquisition of polymorphisms via recombination creates additional concerns because of the receptor binding changes in Qinghai isolates in the region. PB2 E627K has become fixed in the Qinghai strain. This mammalian polymorphism allows H5N1 to grow more efficiently at lower temperatures, as found in humans (37 C) relative to birds (41 C). The preference for a lower temperature selects for E627K in humans. All human influenza isolates have E627K.However. isolates from last season had a number of additional changes in the receptor binding domain. Lab experiments identified several changes that increase affinity for human receptors. These include S227N was has been detected in human Qinghai isolates in Egypt and Turkey. Similarly, N186K has been found in H5N1 from patients in Azerbaijan. In Iraq the same position is changes to N186S in all human isolates, and two had the additional change of Q196R, which has been shown to synergize with S227N.

Moreover, the recent isolate from Egypt has M230I, which is found in all human flu isolates (H1N1, H3N3, influenza B. Thus, further recombination between co-circulating Qinghai isolates can lead to more efficient human-to-human transmission. In the past, there have been few clusters reported in Egypt. The confirmed cluster of two is the largest in Egypt. If the sister of the index is H5N1 positive, the current cluster will be the largest reported for Egypt. The patients also appear to be developing symptoms sequentially, providing additional evidence for human-to-human transmission. It is unclear if the two additional patients are related to the three described in more detail. However, all five either live or have been hospitalized in a region that is close to the first confirmed case with M230I. These three confirmed and one suspect case all live adjacent to the Nile and have a linkage to ducks.

Last year at this time, low path H5 and Qinghai H5N1 were identified in wild ducks (teal) in Egypt. It is likely that H5N1 is widespread in the region, although only Egypt, Sudan, and Nigeria have reported cases in Africa. None of the countries in the Middle East have reported H5N1, although H5N1 was widespread in Turkey at this time last year and was subsequently found in neighboring countries such was Azerbaijan, Iraq, Iran, and Israel.

The extent of H5N1 spread in these regions in this year is unclear because these countries have not detected or report the H5N1 which is clearly circulating in the area. This lack of transparency in the region, coupled with a confirmed human cluster in Egypt is cause for concern.

One year ago the first human cases of Qinghai infections were reported in Turkey. Neighboring countries subsequently began reporting H5N1 infections In January and February of this year. The first fatality in Egypt did not lead to widespread reporting of H5N1 outbreaks in the area. However, the current cluster may lead to more transparency in the region.

H5N1 does not read press releases or media reports. It continues to acquire new polymorphisms via recombination, and the number of such changes in the receptor binding domain of Qinghai H5N1 co-circulating in the Middle East, including Egypt, remains alarmingly high.

,
 
Re: Egyptian govt reports 2 human bird flu cases

http://www.alertnet.org/thenews/newsdesk/L2462395.htm

CAIRO, Dec 24 (Reuters) - Egypt has detected two new human cases of the highly pathogenic H5N1 bird flu virus, both in a single household that raised ducks, a World Health Organisation official said on Sunday.


Hassan el-Bushra, regional adviser for communicable diseases surveillance at the World Health Organisation, said the two people had tested positive for the avian influenza virus.


The new infections bring the total number of human cases in Egypt to 17, of whom seven have died since the virus first surfaced in Egyptian poultry in February.


The two cases were a brother and sister from a village near the town of Zifta in Gharbiya province, about 80 km (50 miles) north of Cairo.

.
 
Re: Egyptian govt reports 2 human bird flu cases

http://today.reuters.co.uk/news/articlenews.aspx?storyid=2006-12-24T075438Z_01_L24163895_RTRUKOC_0_UK-BIRDFLU-EGYPT.xml&type=worldNews&WTmodLoc=World-C3-More-8

Egypt detects two new human H5N1 bird flu cases

Sun Dec 24, 2006 7:54 AM GMT
spacer.gif


CAIRO (Reuters) - A brother and sister in Egypt have tested positive for the H5N1 bird flu virus, a World Health Organisation official said on Sunday.

The siblings are from a village near the town of Zifta in Gharbiya province, about 80 km (50 miles) north of Cairo, Hassan el-Bushra, regional adviser for communicable diseases surveillance at the WHO, said.

Bushra said the family raised ducks, and the brother, 26, and sister, 15, had slaughtered the flock after a number of ducks had become sick and died.

Both have been moved to hospitals in Cairo and have been treated with the drug Tamiflu, with the rest of the family being kept under medical surveillance, Bushra said.



The new infections bring the total number of human cases in Egypt to 17, of whom seven have died since the virus first surfaced in Egyptian poultry in February.

The initial bird flu outbreak caused panic in Egypt, where poultry is a major source of protein, and poor families frequently breed chicken and ducks domestically in cities and rural areas to supplement their diet and income.

The Egyptian cabinet announced in November that the country's poultry production had recovered to almost the same level as before the deadly virus hit in February.

An official with the Food and Agriculture Organisation had said in October that the onset of cooler weather could cause a flare-up of cases in poultry

.
 
Re: Egyptian govt reports 2 human bird flu cases

Egypt detects third new human H5N1 bird flu case

24 Dec 2006 08:07:03 GMT

CAIRO, Dec 24 (Reuters) - Egypt has detected a third new case of the H5N1 bird flu virus, just hours after confirming two new cases in a brother and sister, a World Health Organisation official said on Sunday.

Hassan el-Bushra, regional adviser for communicable diseases surveillance at the WHO said the three cases were from the same household, which houses an extended family of 33 people living together in a village in Egypt's Gharbiya province.

Bushra said the family raised ducks, and had slaughtered the flock after a number of ducks had become sick and died.

http://www.alertnet.org/thenews/newsdesk/L24658408.htm
 
Re: Egyptian govt reports 2 human bird flu cases

Three in Egypt family test postive for bird flu-WHO

24 Dec 2006 08:48:03 GMT

CAIRO, Dec 24 (Reuters) - Three members of the same family in Egypt have tested positive for H5N1 bird flu, a World Health Organisation official said on Sunday.

The WHO earlier said a brother, 26, and sister, 15, had the virus and then said a third relative, a woman aged 30, had contracted it.

All three are from the same extended family of 33 living in a single house in a village near the town of Zifta in Gharbiya province, about 80 km (50 miles) north of Cairo, Hassan el-Bushra, regional adviser for communicable diseases surveillance at the WHO, said.

Bushra said the family raised ducks, and the brother and sister had slaughtered the flock after a number of ducks had become sick and died.

The three have been moved to a hospital in Cairo and have been treated with the drug Tamiflu, with the rest of the family being kept under close medical surveillance, Bushra said.

The new infections bring the total number of human cases in Egypt to 18, of whom seven have died since the virus first surfaced in Egyptian poultry in February.

The initial bird flu outbreak caused panic in Egypt, where poultry is a major source of protein, and poor families frequently breed chicken and ducks domestically in cities and rural areas to supplement their diet and income.

The Egyptian cabinet announced in November that the country's poultry production had recovered to almost the same level as before the deadly virus hit in February.

An official with the Food and Agriculture Organisation had said in October that the onset of cooler weather could cause a flare-up of cases in poultry.

http://www.alertnet.org/thenews/newsdesk/L24166943.htm
 
Re: Egyptian govt reports 3 human bird flu cases

Re: Egyptian govt reports 3 human bird flu cases

Three members of extended family in Egypt test positive for bird flu, WHO says
The Associated Press
Sunday, December 24, 2006

CAIRO, Egypt Three members of an extended family living together in the same house in Egypt have tested positive for the bird flu, a World Health Organization official said on Sunday.
A sister, 15, and brother, 26, and a 30-year-old woman were diagnosed over the past week with the lethal H5N1 virus, said Hassan el-Bushra, a WHO regional adviser.

The three lived with 30 other family members in the same house in the Gharbiya province, north of Cairo, with several ducks, three of which died recently, he said.
The 30-year-old woman was hospitalized on Dec. 17 but did not tell health officials until a few days later that she had been in contact with birds. The two others were hospitalized shortly after, el-Bushra said.


All three have been transferred to a hospital in Cairo, and the 30-year-old woman was in good conition. El-Bushra did not know the conditions of the other two and said the rest of the family is being monitored.

The latest cases bring the number of Egyptians who have contracted the avian flu to 18, el-Bushra said. Seven have since died.

Bird flu was first detected in Egypt in February and has spread to at least 19 of the country's 26 provinces. Egypt lies on a migratory route for wild birds.

The discovery of avian flu in the Middle East has led to widespread culling of birds. The H5N1 strain has hit at least 45 countries and killed more than 150 people worldwide.

http://www.iht.com/articles/ap/2006/12/24/africa/ME_GEN_Egypt_Bird_Flu.php
 
Last edited:
You must log in or register to reply here.
Back
Top