EGYPT - Dec 4 2007 - Jan 1, 2008

[Treyfish]

Re: EGYPT - Dec 4, 2007+

AVIAN INFLUENZA, HUMAN (180): EGYPT

A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Mon 31 Dec 2007
Source: Reuters Africa [edited]
<http://africa.reuters.com/wire/news/usnL31423521.html>


An Egyptian woman who had been in contact with sick birds died of the
avian influenza virus on Monday [31 Dec 2007], the 3rd death in the
most populous Arab country from bird flu in less than a week, the
Health Ministry said. The ministry said in a statement that the
woman, a resident of Menoufia province in the Nile Delta, was taken
to hospital on Saturday [29 Dec 2007] and died early on Monday [31
Dec 2008]. "She suffered from a high fever and difficulty breathing
and had a pulmonary infection after coming into contact with birds
suspected of being infected with avian flu," the statement said. "She
was placed on a respirator but died at dawn on Monday [31 Dec 2007]."
The death was the 18th bird flu fatality and the 43rd human case in
Egypt since the deadly H5N1 virus arrived in early 2006.

It came a day after a 25-year-old Egyptian woman died of bird flu in
the Nile Delta city of Mansoura. Another woman died of bird flu on
Wednesday [26 Dec 2007] in Beni Suef province south of Cairo.

It is the 3rd winter that the virus has struck after lying low during
Egypt's hot summers, when it is much less likely to spread from one
carrier to another. The government has promoted a poultry vaccination
programme but coercive measures are hard to enforce. Around 5 million
households in Egypt depend on poultry as a main source of food and
income, and the government has said this makes it unlikely the
disease can be eradicated.

[Byline: Cynthia Johnston]

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[Three of the 43 cases of human H5N1 avian influenza recorded in
Egypt since the beginning of 2006, and 3 of the 18 deaths, have
occurred during the past 7 days. The 3 cases appear to be
unconnected. The high mortality rate is worrying in view of the
previous success of the Egyptian authorities in treating avian
influenza virus patients. Hopefully this is a statistical aberration
and it does not herald the appearance of a virus endowed with
enhanced virulence for humans.

A map of Egypt showing the location of the Governorate of Menoufla in
the Nile Delta and of Beni Suef to the south of Cairo is available at
<http://www.lib.utexas.edu/maps/africa/egypt_admn97.jpg>. - Mod.CP]

[Theresa42]

Re: EGYPT - Dec 4, 2007+

Map of confirmed cases by governorate (not specific locations):

1 - Oula Yunis Ali Mohamed (25F) - d. Dec 25, 2007
2 - Attorh Hanim Ibrahim [aka Hanem Atwa Ibrahim] (50F) - d. Dec 31, 2007
3 - Nora Aboul Abbas Mohamed (21/22F)
4 - Fatma Fathi Mohamed (25F) - d. Dec 30, 2007
5 - Firdaus Mohamed Hadad (26F) - d. Dec 31, 2007

[AlaskaDenise]

Re: EGYPT - Dec 4, 2007+

Bird flu takes more lives in Egypt
Tue, 01 Jan 2008 05:26:59

The number of fatalities from bird flu in Egypt rises to four as two more women die from the virus, which recently has become ubiquitous.

All four deaths involved women and were believed to have resulted from exposure to sick or dead backyard birds.

The recent deaths broke a 5-month pause in human cases in Egypt and brought the number of Egyptians who have died of the H5N1 bird flu virus to 19 since it emerged in Egypt in early 2006.

It is the third winter that the virus has struck after lying low during Egypt's hot summers, when it is much less likely to spread from one carrier to another.

The virus has killed more 214 people and infected more than 340 people since 2003, according to WHO.

'

[AlaskaDenise]

Re: EGYPT - Dec 4, 2007+

Two Egyptian women die of bird flu virus

Mon Dec 31, 2007 7:11pm EST
By Cynthia Johnston

CAIRO (Reuters) - Two Egyptian women died of bird flu on Monday, bringing to four the number of fatalities from the virus in the most populous Arab country in less than a week as Egypt emerged from a warm-weather lull in avian flu cases.

All four deaths involved women and were believed to have resulted from exposure to sick or dead backyard birds.

Firdaus Mohamed Hadad of Menoufia province in the Nile Delta region north of Cairo was taken to hospital on Saturday and died early on Monday, Egypt's Health Ministry said in a statement.

"She suffered from a high fever and difficulty breathing and had a pulmonary infection after coming into contact with birds suspected of being infected with avian flu," the statement said. "She was placed on a respirator but died at dawn on Monday."

Later, John Jabbour, an Egypt-based World Health Organisation official, told Reuters a second woman had died of bird flu in northern Egypt. The health ministry identified the woman as Hanem Ibrahim from Damietta, also in the Nile Delta.

The four Egyptian deaths from bird flu over the past week broke a 5-month pause in human cases in Egypt and brought to 19 the number of Egyptians who have died of the deadly H5N1 bird flu virus since it emerged in Egypt in early 2006.

It is also the third winter that the virus has struck after lying low during Egypt's hot summers, when it is much less likely to spread from one carrier to another.

On Sunday, a 25-year-old Egyptian woman died of bird flu in the Nile Delta city of Mansoura while another woman, Ola Younis, died of bird flu on Wednesday in Beni Suef province south of Cairo, the first case of this winter season.

Jabbour said the high fatality rate in the recent cases was likely due to a delay in diagnosis after patients and their family members denied exposure to infected birds.

"All of the new cases have exposure to sick or dead backyard birds. ... The problem is the delay in reporting that they have been exposed," he said. Patients are most likely to survive if they start treatment with Tamiflu early after symptoms occur.

Around 5 million households in Egypt depend on poultry as a main source of food and income, and the government has said this makes it unlikely the disease can be eradicated despite a large-scale poultry vaccination programme. WHO officials have said the bird flu virus was now considered endemic in Egypt.

Deaths from bird flu now total more than 210 worldwide since 2003 and have been reported in several African and Asian countries, as well as in Turkey and Azerbaijan. Egypt, with 43 confirmed human cases, has been the single hardest-hit country outside of Asia.

Health experts fear the virus could mutate into a form that spreads easily from one person to another, possibly triggering a pandemic that could kill millions.

.

[Theresa42]

Re: EGYPT - Dec 4, 2007+

More on the four suspected cases from one family in Port Said (which is over by the Suez Canal, so not in the usual delta area)....

Google-translated from Arabic:

Detention Family Hospital pathogenesis Port Said on suspicion of injury Avian
Dec 31, 2007

Port Said Rahman unrelated: Detained by the Department of Hospital pathogenesis Said a family of four persons in the isolation hospital, after very high degree temperature and influenza and severe injuries in the suspected Avian .. family is composed of Reza Abdalmugod Abdilkadir 25 years, and allow the Radwan wife and his two sons Mohammed 9 years and Rajab 5 years. Dr. Imad Eddin Mohamed, director general of the Directorate of Health Port Said that the family maintains a village south of Port Said Radwan.

The Family Educational [backyard/roof-top] used bird, poultry house, and announced the formation of a medical committee to survey the region in full, and take samples from the family and sent to labs central Cairo to show how Avian infected or not. At the same time, Dr. Mustafa Musa director of veterinary services to the Directorate continue their survey area full and adjacent to the Cape cow mother behind, and the Sea Cow and educators to educate citizens ducks inside their houses, and sampling of these birds infected with the family and still under observation pending the receipt of results analysis of samples from labs and the Central Plan vaccinations and immunizations continuing and will not stop to make sure the area is free of the disease.

http://www.alwafd.org/v3/News/NewsDe...fd63936a1bdc3c

Port Said -- where the family-of-four suspected cases are -- is only ca. 30 miles (ca. 45 km) away (as the crow flies) from Damietta where the deceased 50 year-old woman was from. (I'm not 100% sure, but I think she lived near to Damietta city -- not sure though.) I thought Port Said was farther away. Drat. Port Said is right next to the Suez Canal, btw.

Here's a map indicating Port Said, Damietta city, Ad Daqaliyah governorate where one confirmed (dead) case was from, and Al Minufiyah governorate where two confirmed cases (one dead) are from. The location of the fifth recent case -- Beni Suef -- is off the map to the south.

[Treyfish]

Re: EGYPT - Dec 4, 2007+

Egypt: Second woman dies of bird flu on Monday


<TABLE cellSpacing=0 cellPadding=0 border=0><TBODY><TR><TD class=text12g>Published: </TD><TD class=text12g>01.01.08, 00:40 / Israel News </TD></TR></TBODY></TABLE></SPAN>

<STYLE>P{margin:0;} UL{margin-bottom:0;margin-top:0;margin-right: 16; padding-right:0;} OL{margin-bottom:0;margin-top:0;margin-right: 32; padding-right:0;} H3.pHeader {margin-bottom:3px;COLOR: #192862;font-size: 16px;font-weight: bold;margin-top:0px;} P.pHeader {margin-bottom:3px;COLOR: #192862;font-size: 16px;font-weight: bold;}</STYLE><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></B>Egyptian health officials reported the deaths Monday of two women from bird flu, bringing to 19 the number of the country's fatalities since the lethal H5N1 strain first appeared here last year.

The deaths, along with those of two other women just days ago, bring to four the number of women who died from the strain in a single week. Egypt's Ministry of Health reported a total number of 43 H5N1 infections in the country, including the 19 fatalities. Most of the fatalities have been women or girls whose families raise poultry in backyards and who had daily contact with chickens or turkeys. (AP) http://www.ynetnews.com/articles/0,7...488897,00.html

[Theresa42]

Re: EGYPT - Dec 4, 2007+

Here's a map of the villages/towns where 4 of the 5 most recently confirmed cases are/were from. We don't have details, yet, on the last case (Firdaus) so she's not mapped.

Thanks to LaidbackAl, Florida1 and KimT for finding some of the locations!

Oula Yunis Ali Mohamed (25F) - d. Dec 25, 2007 -- Beni Haroun, Beni Suwayf governorate (furthest to the south)

Attorh Hanim Ibrahim [aka Hanem Atwa Ibrahim] (50F) - d. Dec 31, 2007 -- Shatt `Ezbet el-Lahm, Damietta governorate (furthest north)

Nora Aboul Abbas Mohamed (21/22F) -- Barhim near Minuf city, Al Minufiyah governorate

Fatma Fathi Mohamed (25F) - d. Dec 30, 2007 -- Dikirnis, Ad Daqahliyah governorate

Firdaus Mohamed Hadad (26F) - d. Dec 31, 2007 -- Al Minufiyah governorate

Dikirnis to Shatt `Ezbet el-Lahm is ca. 30 miles.
Dikirnis to Barhim, ca. 60 miles.
Barhim to Beni Haroun, ca. 90-100.

[Theresa42]

Re: EGYPT - Dec 4, 2007+

5 suspected cases in Al Minufiyah (not clear if they're the same 5 we already know about or an additional 5); 1 child in Zagazig, Ash Sharqiyyah; and 1 nurse in Banha, Al Qalyubia.

Two Bird Flu Victims in 24 Hours

By Tarek Amin and Mamdouh Arafa ، Ceyhan Khalifa 1/1/2008

The Ministry of Health and Population announced the death of the 18th person due to bird flu. She was the 43rd person to fall ill.

According to an official statement of the Ministry yesterday, the new victim was a 36-year-old woman called Fardos Mohamed Haddad from Menouf district in Menoufia. She was admitted to Menouf Hospital on December 29.

The media counselor and Ministry spokesman said that she was had fever, had difficulty breathing and was suffering from acute pneumonia.

He added that she was taken to Shebin el-Kom hospital on December 30 and was breathing through an artificial respiratory machine before she passed away on Monday at dawn.

In Dakahlia, the village of Al-Sharika 2 mourned 30-yeard-old Fatma Fathi el-Mahdi, who also died of bird flu.

Meanwhile, five people were admitted to three hospitals in Menoufia and a child in Zagazig and a nurse in Banha for suspected bird flu infection.

Health Minister Hatem el-Gabaly exhorted to take all preventive measures against this disease and affirmed that people must bear in mind that it is mortal and should not be underestimated.

http://www.almasry-alyoum.com/article.aspx?ArticleID=88480

[Theresa42]

Re: EGYPT - Dec 4, 2007+

...nurse in Banha, Al Qalyubia....

None of the recently confirmed cases are from Al Qalyubia governorate.

[Theresa42]

Re: EGYPT - Dec 4, 2007+

Another story coming here about the nurse ... they say she keeps chickens at home ....

[HenryN]

Re: EGYPT - Dec 4, 2007+

Another story coming here about the nurse ... they say she keeps chickens at home ....

That's who gets tested.

[Theresa42]

Re: EGYPT - Dec 4, 2007+

That's who gets tested.

Prolly!

[Theresa42]

Re: EGYPT - Dec 4, 2007+

7 new suspected cases -- 5 new in Al Minufiyah, including one from Barhim (confirmed case Nora Aboul Abbas Mohamed from Barhim); 1 child suspected case from Zagazig, Ash Sharqiyyah; and 1 nurse in Banha, Al Qalyubia, who is reported to keep poultry at home.

Google-translated from Arabic:

Dakahlia deposit [bury] victim bird flu .. 7 cases were suspected in 3 provinces
1/1/2008

Written by Mamdouh Arafa and a light stone and Ceyhan Khalifa, Mohammed Hamdi Abdel The soldier, Mohamed Mahmoud Khalil

[Summary:] She called Dakahlia governorate yesterday evening I, Fatima Mahdi victim of bird flu in the funeral sad -- and detained [in] 3 hospitals in Menoufiya 5 citizens on suspicion of injury, and detained Hospital pathogenesis Zagazig children [child] for the same reason, and detained pathogenesis Banha hospital nurse on suspicion of being infected -- as was the reservation the 1300 Nestling, and 220 duck in Qena, on suspicion of being infected, have been executed 6 thousand chickens in Qaliubia prove after being infected.


Mourning tents in the village of Dakahlia Company 2 of the Center for Dkrns [Dikirnis] during the funeral of Fatima Fathi Mohammed Mahdi 30 years as a result of being infected with severe pneumonia Inflammation and high temperature lasted weeks without detection doctors village or villages surrounding it infected Avian.

He said, Sami Jerhristi Sultan, a relative of the deceased she started trip disease since Saturday December 22 last, when hit by a rise in temperature, cough and asthma, Vengulwha to a clinic but the doctor did not discover infected with Avian and given anti vital, and solutions for a single day, he added, they went to another doctor, referred to a hospital Dkrns [Dikirnis] pathogenesis.

He said that Fatima Jerhristi deposited at the hospital amid severe neglect and without taking any medical procedures or conduct analysis and satisfied by giving them solutions, and two days later was transferred to the General Hospital of Mansoura, who declined to receive and headed to the hospital emergency, after hours of the presence in the hospital, make sure that doctors the situation with virus H5N1 cause of the disease avian influenza, and immediately transmit them to the hospital administration Sadr hospital, and there were isolated in one room, and liberated the record signed by the patient, the blood sample was taken for analysis in the central laboratory.

The Jerhristi they received a telephone call at four o'clock dawn yesterday first-Sunday-Diana.

In Eastern [Ash Sharqiyah] detained Hospital pathogenesis Zagazig child Nabil Ahmed Mohamed, 8 years, from the village of Hrbit Abkber Center for the emergence of symptoms similar to bird flu disease, and Dr. Sayed Aboualjer, Undersecretary of the Ministry of Health that a child infected Inflammation of the throat and nominated and a rise in temperature.

In Menoufiya detained hospitals pathogenesis Mnov and Shebin Mound and Martyrs [3 different hospitals]: Adel Mohammed Adel, from Srs Allian and daughter prayer, housewives, Mohammed Saeed Abdel Rahman, 18, from the village of Braheem, Mohammed Fawzi Karim Nada, from the village of Kafr Sheikh Khalil in Shebin Mound, benign Abdalhviz Rizq, 23, from a village in Abokls martyrs, and sampling them for analysis.

In Qalyubiyah detained Hospital pathogenesis Banha Safa Abdel Mohammed, a nurse at the health unit necessary for the village's center Shebin Spans on suspicion of being infected because they are raising birds at home, and it appeared the symptoms of the disease.

In Qalyubiyah also executed Directorate of veterinary medicine 6 thousand chickens in a farm in the village of Kafr in honor of debt after being infected with proven, in Qena Supply Investigation seized together with the teams fight bird flu in two cars ambushed albedo of the city of Qena, on board 1300 Nestling My age 21 days, and 220 duck Omar 15 days, on suspicion of being infected with the disease.

The Governor said Major General Magdi Ayoub, and that both cars were on their way from the city to the city of Qena lock for the distribution of birds on clients, and that he would show a forgery in a statement Alhmolten been reservation to birds, and sampling for analysis.

http://www.almasry-alyoum.com/article.aspx?ArticleID=88438

[sharon sanders]

Re: EGYPT - Dec 4, 2007+

Do these 7 include some of the suspected "8" cases from yesterday?

[HenryN]

Re: EGYPT - Dec 4, 2007+

Do these 7 include some of the suspected "8" cases from yesterday?

I don't see the overalp. There were five suspect cases in Menoufiya who were older males (from yesterday) or children (from 2 days ago).

http://www.recombinomics.com/News/12310705/H5N1_Menoufia_5.html

The four new cases from Menoufiya are predominantly younger females. I also don't see much overlap in the villages, so the suspect cases appear to be unique.

The others don't overlap either (four from yesterday were a family in Port Said)

http://www.recombinomics.com/News/01010801/H5N1_Egypt_Cluster_Said.html