Egypt - Girl, 2, confirmed H5N1 case - Damietta governorate

[Treyfish]

Update EMPRES-I

Highly Pathogenic Avian Influenza A(H5N1), Egypt

GENERAL INFO
Disease Event ID: 173844
Reporting date: 10/12/2012
Observation date: 02/12/2012
LOCATION
Region: Africa
Admin 1 (Country): Domyat (Damietta) (Egypt)
Locality: Kafr Saad
Lat/Long: 31.3581690667 / 31.7150010065
Quality of Coordinates: Centroid Admin1
DISEASE
Status: Confirmed
DISEASE: Highly Pathogenic Avian Influenza
Serotype: H5N1
Source: National Authorities
LABORATORIES
Disease Tested: Highly Pathogenic Avian Influenza
Species: …
Test: RT-PCR
Result: Positive
Result Date: 09/12/2012
Reference Laboratory: …

EMPRES-i - Global Animal Disease Information System#h=1

http://empres-i.fao.org/eipws3g/#h=0 - then click on the Egypt entry in the Latest Events box on the right

[Giuseppe Michieli]

[Source: World Health Organization, full PDF document: (LINK). Edited.]


Influenza at the human-animal interface - Summary and assessment as of 17 December2012



Human infection with avian influenza A(H5N1) viruses and associated animal health events

From 2003 through 17 December 2012, 610 laboratory-confirmed human cases with avian influenza A(H5N1) virus infection have been officially reported to WHO from 15 countries, of which 360 died.

Since January 2012, 32 human cases of influenza A(H5N1) virus infection have been reported to WHO.

Since the last update on 5 November 2012, two new laboratory-confirmed human cases with influenza A(H5N1) virus infection were reported to WHO, one from Egypt and the other a fatal case from Indonesia.



Table 1: laboratory-confirmed human cases with avian influenza A(H5N1) virus infection reported between 5 November and 17 December 2012

[Country – Province - Age (y) – Sex – Date of onset - Date of Hospitalisation - Date of death - Oseltamivir treatment Start date - Exposure to]

• Egypt - Demietta governorate – 2 – F - 3/12/2012 - 1/12/2012 – … - 4/12/2012 - Backyard poultry (chicken and ducks)
• Indonesia - West Java – 4 – M - 30/11/2012 - 5/12/2012 - 6/12/2012 – … - Poultry (duck) in neighbourhood

Based on previous years’ observations, an increase in reported H5N1 influenza events in poultry is expected for this time of year.

Sporadic human cases reported this month in countries with known influenza A(H5N1) virus activity in poultry are within the expected range.

No onward sustained human to human transmission was reported.

Public health risk assessment of avian influenza A(H5N1) viruses: The public health risk remains unchanged



Human infection with other non-human influenza viruses

A(H3N2) variant virus infection

The United States of America (USA) reported a new human case of influenza A(H3N2)v infection during week 47 from the state of Iowa.

The case had no history of contact with swine or other livestock in the week before the onset of symptoms. Investigations are ongoing but no further cases were identified among the contacts of the case.

Overall public health risk assessment of the influenza A(H3N2)v viruses: Further human cases and small clusters may be expected as this virus is circulating in the swine population in the USA. Close monitoring of the situation is warranted.

Due to the nature of constant evolving of influenza viruses, WHO continues to stress the importance of global monitoring of influenza viruses and recommends all Member States to strengthen routine influenza surveillance.

All human infections with non-human influenza viruses as such are reportable to WHO under IHR (2005).



Relevant Links:

• WHO human-animal interface web page http://www.who.int/influenza/human_animal_interface/en/
• Cumulative Number of Confirmed Human Cases of Avian Influenza A/(H5N1) Reported to WHO http://www.who.int/influenza/human_animal_interface/EN_GIP_LatestCumulativeNumberH5N1cases.pdf
• H5N1 avian influenza: timeline of major events http://www.who.int/influenza/human_animal_interface/avian_influenza/H5N1_avian_influenza_update.pdf
• WHO Archive: Avian Influenza situation updates http://www.who.int/influenza/human_animal_interface/avian_influenza/archive/en/index.html
• World Organisation of Animal Health (OIE) web page: Web portal on Avian Influenza http://www.oie.int/animal-health-in-the-world/web-portal-on-avian-influenza/
• Food and Agriculture Organization of the UN (FAO) webpage: Avian Influenza http://www.fao.org/avianflu/en/index.html
• OFFLU http://www.offlu.net/index.html
• Updated unified nomenclature system for the highly pathogenic H5N1 avian influenza viruses http://www.who.int/influenza/gisrs_laboratory/h5n1_nomenclature/en/index.html

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[sharon sanders]

The report lists the onset date after the hospitalization.

[Biological]

WHO correction!
Influenza at human-animal interface - Monthly Risk Assessment Summary
Latest HAI Risk Assessment Summary
17 December 2012
(updated on 20 December 2012)


Human infection with avian influenza A(H5N1) viruses and associated animal health events
From 2003 through 17 December 2012, 610 laboratory-confirmed human cases with avian influenza A(H5N1) virus infection have been officially reported to WHO from 15 countries, of which 360 died. Since January 2012, 32 human cases of influenza A(H5N1) virus infection have been reported to WHO.
Since the last update on 5 November 2012, two new laboratory-confirmed human cases with influenza A(H5N1) virus infection were reported to WHO, one from Egypt and the other a fatal case from Indonesia.

Table 1: laboratory-confirmed human cases with avian influenza A(H5N1) virus infection reported between 5 November and 17 December 2012

Country: Indonesia
Province: West Java
Age (y): 4
Sex: M
Date of onset: 30-Nov-2012
Date of Hospitalisation: 5-Dec-2012
Date of death: 6-Dec-12
Oseltamivir treatment Start date: ....
Exposure to: Poultry (duck) in neighbourhood

Country: Eygpt
Province: Demietta governorate
Age (y): 2
Sex: F
Date of onset: 3-Dec-2012
Date of Hospitalisation: 4-Dec-2012
Date of death: N/A*
Oseltamivir treatment Start date: 4-Dec-2012
Exposure to: Backyard poultry (chicken and ducks)

*NA: not applicable

Based on previous years’ observations, an increase in reported H5N1 influenza events in poultry is expected for this time of year. Sporadic human cases reported this month in countries with known influenza A(H5N1) virus activity in poultry are within the expected range. No onward sustained human to human transmission was reported.

Public health risk assessment of avian influenza A(H5N1) viruses: The public health risk remains unchanged.


http://www.who.int/influenza/human_a...c12updated.pdf

Michael Fraser

[sharon sanders]

Welcome and Thanks Biological!