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Unreported human H5N1 case in Egypt last year?

Laidback Al

Well-known member
There is a human H5N1 sample (A/Egypt/N08835/2009(H5N1)) processed in Egypt by NAMRU last year that can not be associated with any WHO confirmed case. see below.


H5N1 human cases in <st1:country-region w:st="on"><st1:place w:st="on">Egypt</st1:place></st1:country-region>, July ? September 2009

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#81 M, 1.5 from Kafr el-Sheikh Governorate, onset 6/15/2009
http://www.who.int/csr/don/2009_07_01/en/index.html
(A/Egypt/N05912/2009(H5N1))
<o:p> </o:p>
#82 F, 8 from Kafr el-Sheikh Governorate, onset 7/24/2009
http://www.who.int/csr/don/2009_08_11a/en/index.html
(A/Egypt/N07392/2009(H5N1))
<o:p> </o:p>
#83 M, 1.5 from Shebin Elkom district, Al Minufiyah Governorate, onset 7/28/2009
http://www.who.int/csr/don/2009_08_11a/en/index.html
(A/Egypt/N07908/2009(H5N1))
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<o:p> </o:p>
Missing human H5N1 case in <st1:country-region w:st="on"><st1:place w:st="on">Egypt</st1:place></st1:country-region>???<o:p></o:p>
<o:p> </o:p>
(A/Egypt/N08835/2009(H5N1))

This sample was collected on August 1, 2009 is reported from a female less than one year old located in Al Minufiyah Governorate. It can not be associated with case #83 because the individual clearly was a male, and sample A/Egypt/N07908/2009 was collected from this child on July 30, 2009.
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It can not be associated with case #84 because the collection date is before the onset date for the 1.8 year old female from Al Minufiyah Governorate (unless of course there was a lab error).
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#84 F, 1.8 from Berket al-Saba, Al Minufiyah Governorate, onset 8/23/2009
http://www.who.int/csr/don/2009_08_31/en/index.html
(A/Egypt/N09174/2009(H5N1))
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#85 F, 14 from Damietta Governorate, onset 8/21/2009
http://www.who.int/csr/don/2009_08_31/en/index.html
No sample
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#86 M,13 from Alexandria Governorate, onset 9/13/2009
http://www.who.int/csr/don/2009_09_24/en/index.html
(A/Egypt/N09539/2009(H5N1))
<o:p> </o:p>
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