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  • #16
    Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

    machine translation


    Human infection number "44"

    بأنفلونزا الطيور..
    Avian influenza ..
    لطفلة من المنيا
    The girl Minya
    تأكدت الليلة

    Last night confirmed human infection No. 44 contracted avian influenza in Egypt for 4-year-old girl from the village of Sheikh Massoud Center enemy Minya governorate.
    صرح
    Dr Abdulrahman Shaheen Media adviser and spokesman, Ministry of Health and Population said that the transfer of the patient after all tests and analyses necessary and giving real estate "Altamflo" enemy Central Hospital to a hospital Adviser Bakry Cairo.

    وأوضح
    He explained that the condition of medium and suffering from high temperature and shortness of breath and inflammation of the lungs and is a follow-up to their being.


    Comment


    • #17
      Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

      machine translation -

      official report of total cases suspected/actual since 2006 - some suspected cases -


      OFFICIAL REPORT: cases of suspected infection b «bird flu» approaching 5000 people


      Tarek wrote Secretary 27/2/2008
      [Mountain]
      Mountain

      snip

      «February 2006» to 4904 persons, an altitude of about 2604 cases, compared to the same period last year .

      The report, which received «Egyptian today» copy thereof, showing that the cases of her disease so far were 44 cases in the governorates of Cairo, Giza, and Menoufiya, western and Kafr El-Sheikh, Fayoum, Beni Suef, Minya, Sohag, 19 of whom died case.

      The ministry announced late yesterday evening I, injury No. 44 confirmed human disease, a child any Atef Congratulations Hussein «4 years», from the village of Sheikh Massoud Center enemy Valley.

      snip

      Tvelt, the list of suspected cases were infected in isolation in Luxor, Ismailia, where 14 cases have been isolated in each, and then Said 12 cases and 11 cases of Asyut, and in the provinces of the Red Sea and the New Valley 4 cases in each, and then Suez 3 cases, whereas been isolated cases in both south and north Sinai, the two prefectures, which did not certify

      Comment


      • #18
        Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

        machine translation -


        Abaza recognizes the bird flu villages
        failure of agriculture in the face of bird flu villages
        Said wrote Nafie, Mr. Abualli, just patron 27/2/2008

        Admitted Amin Abaza, Minister of Agriculture, the Ministry of failure to control the avian influenza virus in the villages, where were vaccinated birds found in 40% of the total number of houses 8 million house.

        snip

        In Menya, said Atef Mohamed Mabrouk «37 years Falah» resident of the village «Mvuz good» Centre enemy that his daughter «any 4 years», announced the Ministry of Health yesterday illness infected with bird flu since the disease 10 days, doctors tried to treat the foreign clinics It infected caught a cold, but their situation were not stable, due to a rise in temperature lasting, and the worse day after the other, and that he was transferred to the hospital yesterday, where Dr. Mohammed Abdel Salam, Director of Hospital Dietetic enemy of her disease.

        His house was not the only Bttin only on the ground floor and the girl play with them has been allocated to health officials all possibilities to save my daughter and transfer to a hospital in Cairo Adviser Bakry, stressing that his daughter's case fully and fatigue condition late completely and hope in Divine Providence.

        The executive agencies in the health and veterinary medicine unit and the local state of emergency yesterday and the village has done Mejia on the entrances and exits amid strict security escorts and bodies veterinary medicine execute all birds existing village and transported to landfills existing health dahir western desert, as a process of cleansing of the village.

        The General Fouad Saad Eddin governor of Minya, a state of emergency region in anticipation of the emergence of other cases and decided to convene an emergency meeting of the Higher Committee for Bird Flu Territory.

        In the same context, Major General Mohsen Al-governor of Sohag to close all stores that sell live birds violation at the level of governance, after increasing cases of suspected disease and mandated heads of cities and villages to pass periodic shops selling birds and implementation of administrative closure






        Comment


        • #19
          Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

          machine translation -

          Hospital director Adviser Bakry: the case of the girl child infected with avian influenza stable

          2/26/2008 8:57:00 PM
          <!-- Image --><TABLE style="DIRECTION: ltr; TEXT-ALIGN: left" cellSpacing=0 cellPadding=0 width=180 align=right border=0><TBODY><TR><TD><SCRIPT type=text/javascript> <!-- function pop() { var generator=window.open('','name','height=500,width= 500,status=1,scrollbars=1'); generator.document.write('<html><head><title>Masra wy - مدير مستشفى منشية البكرى: حالة الطفلة المصابة بأنفلونزا الطيور مستقرة </title>'); generator.document.write('<link rel="stylesheet" href="/style/news.css">'); generator.document.write('</head><body>'); generator.document.write('


          '); generator.document.write('

          '); generator.document.write('
          أنلفونزا الطيور في العالم

          '); generator.document.write('

          '); generator.document.write('</body></html>'); generator.document.close(); } //--> </SCRIPT></TD></TR><TR><TD></TD></TR><TR><TD class=phototitle align=middle height=18>
          أنلفونزا الطيور في العالم
          Avian influenza in the world </TD></TR></TBODY></TABLE>

          ا

          ن .
          </DIV>CAIRO - The Director Dr. Yusri Rajab Hospital Adviser Bakry that any girl Atef Hussein Mabrouk 4 years infected with avian influenza - is the first case received at the hospital during the current year 2008 and currently reserved intensive care hospital room - in stable condition improved.
          ضها لطيور منزلية /بط/ ..رت وكالة أنباء الشرق الأوسط 0




          The director of the hospital, said in a statement Tuesday that the girl child has been transferred from the hospital Monday any enemy Central district, which entered last Sunday which suffers from high degree of thermal and shortness of breath and pneumonia after exposure to domestic birds / Duck / suspected of being infected with bird flu disease -- according to the Middle East News Agency 0

          طفلة أية.


          He added that the girl child is given any real estate "Tamiflu &#174;" stable and satisfactory condition improved .. He pointed out that the child's mandate is No. 44 among the casualties since the emergence of the disease early in 2006 have been recovered, including 19 children, including 18 children and the girl child mandate.

          ى

          He explained that among these four children in 2006 and 14 children in 2007 and scored the first child last year 0.


          طيور .
          The Dr. Ragab applies to any girl from the village of Sheikh Massoud Center enemy district was transferred to a hospital Adviser Bakry they only hospital equipped nationwide to receive and treat cases of children infected Panevloanza birds.

          He explained that his unit care center for children Balottaghzac hospital equipped with necessary equipment for intensive care for children 0


          www.masrawy.com
          Last edited by AlaskaDenise; April 29, 2008, 10:04 PM.

          Comment


          • #20
            Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

            machine translation -


            <!--heade--><table style="text-align: left; direction: ltr;" bgcolor="#ffffec" border="0" cellpadding="0" cellspacing="0" width="100&#37;"><tbody><tr><td colspan="5" align="right" bgcolor="#ffffec">
            اصابة بالمرض لتعرضهم المباشر للطيور المصابة والنافقة‏.‏

            Sheikh Massoud turned quiet village in the far enemy district status to a state of panic after yesterday confirmed human infection No. 44 avian influenza illness of the girl child any Atef Congratulations and 4 years old, was transferred from a hospital virus infection to the central hospital Adviser Bakry Cairo after it was felt in the high temperature and asthma and pneumonia after exposure to domestic birds (Butt) has been given real estate Altamflo became stable condition. said Dr. Abdel Rahman Shahin Spokesman of the Ministry of Health that the most serious injury of two human disease are February and March which requires a vigilant and follow all the procedures necessary health education, explaining that the most serious domestic poultry disease factors most would not subject to the procedures sound health and concealing facts about the committees veterinary inspection to fortify bird houses. pointed out that the virus had not mutated at the global level. It still infection and transmission of the disease confined to the infected birds to humans, and children most affected by the disease for direct exposure to infected birds and dead.

            جريدة الأهرام ، التي تأسست في 5 أغسطس 1875 ، هي أكثر الصحف اليومية المصرية انتشارًا ، وثاني أقدم صحيفة بعد الوقائع المصرية


            </td></tr></tbody></table>

            Comment


            • #21
              Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

              newspaper reports another child treated for suspected H5N1 -


              <table style="text-align: left; direction: ltr;" align="center" border="0" cellpadding="1" cellspacing="0" width="99&#37;"><tbody><tr><td align="right">Girl avian influenza infection in the Upper Egyptian suspect in the case of another girl

              </td></tr><tr><td class="myfont" align="center">
              كتب ـ سناء مصطفى ومختار محروس: كشفت نتيجة تحاليل المعامل المركزية لوزارة الصحة إصابة الطفلة آية عاطف مبروك بفيروس انفلونزا الطيور.
              Sana wrote Mustafa Mokhtar Mahrous: analyses revealed by the central laboratory of the Ministry of Health wounded girl Atef Congratulations any avian influenza virus.
              تبلغ الطفلة 4 سنوات، وتقيم مع أسرتها في منزل ريفى بقرية مفوز طيبة بمركز العدوة.
              Inform the girl 4 years, and stay with her family in a rural village house Mvuz good status enemy.
              أكدت عواطف علي ابراهيم جدة الطفلة إن آية كانت موجودة مع أخيها أحمد &#187;عامين&#171; وأختها الرضيعة &#187;عام&#171;، وأن الأسرة كانت تربى بطتين تم ذبحها السبت الماضى.
              The Awatif Ibrahim Jeddah that any child was found with her brother Ahmed &#187;two&#171; sister and infant &#187;of&#171;, and that the family had been kept before slaughter Bttin last Saturday.
              كما يقول حجازى مبروك عم الطفلة المصابة انها تعرضت لارتفاع مفاجئ فى درجة الحرارة وتم نقلها لمستشفى حميات العدوة ثم لمستشفى العدوة العام.
              Hijazi also says Congratulations with the patient she had been a sudden rise in temperature was transported to the hospital and then salt enemy Hospital enemy year.
              وقال إنها تم نقلها فجأة للقاهرة بعد منتصف ليلة أمس دون أن يخبرهم أحد بحقيقة مرضها بانفلونزا الطيور، وأن مسئولى المستشفى العام أخبروهم فقط بأنها اشتباه.
              He said it was suddenly transferred to Cairo after midnight yesterday without gives one fact avian influenza illness, and hospital officials told them only as a general.
              بعض الخفراء بمحاصرة المزارع رغم الاعلان عن حالة آية.




              The family's neighbours that any house surrounded by a farmer household multiple poultry owned by Joseph Isaac, and others, and demanded the immediate execution of these birds, and said that the devices did not move, did not occur until some gendarmes surrounded the farms despite the declaration on the status of any. <o:p></o:p>
              انت.


              Dr. Nasr Aaron Director General Hospital enemy that the hospital has to give the child any necessary remedial dose immediately after his arrival, and that he was transferred to a hospital in Cairo Adviser Bakri, and that they were infected with pneumonia and bouts heated.
              ال العينات اللازمة لتحليلها بالقاهرة.



              He also stated that there was another girl named Rachel xxxx xxxxx &#187;3 years&#171; been booked hospital and send samples for analysis in Cairo. <o:p></o:p>
              الة
              .
              The longer this situation is No. 44 in the avian influenza disease has recovered 28 cases and 15 cases died so far.


              http://www.nowabikhwan.com/



              </td></tr></tbody></table>
              Last edited by sharon sanders; February 27, 2008, 11:42 AM. Reason: deleted middle and last names

              Comment


              • #22
                Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

                Avian influenza - situation in Egypt - update 4


                28 February 2008
                The Ministry of Health and Population of Egypt has announced a new human case of avian influenza A(H5N1) virus infection. The case is a 4 years old female from El-Edwa district, Menea governorate. She developed symptoms on 21 February and was hospitalized on 24 February. She is receiving treatment and is in a stable condition.
                Investigations into the source of her infection indicate exposure to sick poultry in the week prior to onset of symptoms.
                Of the 44 cases confirmed to date in Egypt, 19 have been fatal.



                Comment


                • #23
                  Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

                  Egyptian woman tests positive for bird flu-MENA

                  Sat 1 Mar 2008, 19:20 GMT

                  CAIRO, March 1 (Reuters) - A 25-year-old Egyptian woman tested positive for bird flu on Saturday, the 45th confirmed human case in the Arab world's most populous country, state news agency MENA said.

                  Ministry of Health spokesman Abdel Rahman Shaheen said the woman had been treated with the antiviral drug Tamiflu and had been transferred from Fayoum province to a hospital in Cairo, the agency said.

                  The woman was suffering from a high fever, both her lungs were inflamed, and she was being kept on a respirator and under observation, Shaheen said.

                  A 4-year-old girl tested positive for bird flu on Monday.

                  Four Egyptian women died from bird flu in December. Their deaths ended a 5-month pause in human cases in Egypt and brought to 19 the number of Egyptians who have died of the H5N1 bird flu virus since it emerged in Egypt in early 2006.

                  It is the third winter the virus has struck after lying low during Egypt's hot summers.

                  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.

                  Deaths from bird flu total more than 230 worldwide since 2003 and have been reported in several African and Asian countries. Egypt has been the worst-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. (Writing by Aziz El-Kaissouni; editing by Keith Weir)

                  Comment


                  • #24
                    Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

                    machine translation -

                    Egypt announces human infection with avian influenza No. 45 to a girl from the Fayoum 3/1/2008 7:55:00 PM
                    <!-- Image --><table style="text-align: left; direction: ltr;" align="right" border="0" cellpadding="0" cellspacing="0" width="180"><tbody><tr><td><script type="text/javascript"> <!-- function pop() { var generator=window.open('','name','height=500,width= 500,status=1,scrollbars=1'); generator.document.write('<html><head><title>Masra wy - مصر تعلن الإصابة البشرية رقم 45 بأنفلونزا الطيور لفتاة من الفيوم </title>'); generator.document.write('<link rel="stylesheet" href="/style/news.css">'); generator.document.write('</head><body>'); generator.document.write('
                    '); generator.document.write('
                    '); generator.document.write('
                    اصابة بشرية جديدة بأنفلونزا الطيور
                    '); generator.document.write(''); generator.document.write('</body></html>'); generator.document.close(); } //--> </script></td></tr><tr><td></td></tr><tr><td class="phototitle" align="center" height="18">
                    اصابة بشرية جديدة بأنفلونزا الطيور
                    Hit new human bird flu </td></tr></tbody></table>
                    القاهرة- محرر مصراوي- تأكدت يوم السبت الإصابة البشرية رقم 45 بمرض أنفلونزا الطيور في مصر لفتاة عمرها 25 سنة من قرية ترسا مركز سنورس بمحافظة الفيوم .
                    CAIRO - Editor TOM - confirmed human infection on Saturday, No. 45 contracted avian influenza in Egypt for 25-year-old girl from the village of gunshot Center Brenda Fayoum Governorate.


                    وقالت وكالة أنباء الشرق الأوسط نقلا عن الدكتور عبد الرحمن شاهين المستشار الإعلامي والمتحدث الرسمي بوزارة الصحة والسكان بأن المصابة دخلت مستشفى حميات الفيوم يوم الأربعاء وتم في اليوم التالي لدخولها تحويلها إلى مستشفى صدر الجيزة وهى تعانى من ارتفاع فى درجة الحرارة وضيق فى التنفس والتهاب رئوي وألام بالجسم عقب تعرضها لطيور يشتبه في إصابتها بمرض أنفلونزا الطيور .



                    The Middle East News Agency quoted Dr. Abdul Rahman Al Shaheen Media adviser and spokesman, Ministry of Health and Population that infected entered the hospital on Wednesday salt Fayoum was on the day following the entry transfer to a hospital Giza is suffering from high temperature and shortness of breath, pneumonia and the mother body Following exposure to birds suspected of being infected with bird flu disease.
                    وأشار الدكتور شاهين الى انه تم إعطاؤها عقار "التاميفلو" فور الاشتباه في إصابتها بالمرض وهى الآن على جها


                    التنفس الصناعي و يتم حاليا متابعة حالتها وتوفير الرعاية اللازمة بمستشفى صدر الجيزة .





                    He pointed out that Dr. Shahin were given drug "Tamiflu ?" as soon suspected of carrying the disease and is now on a breathing industrial and is currently condition and follow-up care required hospital issued Giza.




                    وكان أمين أباظة وزير الزراعة قد اعترف أن الحكومة قد تهاونت في تطبيق إجراءات تطعيم الدواجن وتطبيق إجراءات الأمان الحيوي وهو السبب في ارتفاع معدل الإصابة بأنفلونزا الطيور بين المزارع خلال الشهرين الأخيرين.



                    Amin Abaza, the minister of agriculture has admitted that the government had Thaont in the application procedures and application of poultry vaccination safety procedures is vital reason for the high incidence of avian influenza among farms during the last two months.




                    وقال أباظة في مجلس الشعب أن هذا التهاون جاء نتيجة الاطمئنان الزائف الذي سيطر علي أصحاب المزارع عقب تراجع معدلات الإصابة.



                    Abaza said at the People's Council that this complacency is the result of the false assurance that controlled plantation owners following the retreat of infection rates.
                    وهذا هو الشتاء الثالث في مصر الذي يشهد وفيات بعد خمول الفيروس خلال الصيف الذي تشتد حرارته وينخفض فيه كثيرا احتمال انتقال العدوى.



                    This is the third winter in Egypt who witnessed deaths after the virus dormant during the summer much temperature and a low risk of transmission significantly.
                    ونظمت الحكومة برنامجا لتطعيم الطيور لكن يصعب تطبيق التطعيم الإجباري.
                    A government programme to vaccinate birds but is difficult to apply compulsory vaccination.
                    ويعتمد حوالي خمسة ملايين بيت في مصر على الطيور كمصدر رئيسي للطعام والدخل.



                    And adopted about five million house in Egypt for the birds as a major source of food and income.
                    وتقول الحكومة إن هذا يصعب من إمكانية اجتثاث المرض من البلاد.
                    The Government says that this possibility is difficult to uproot the disease from the country.


                    الاهتمام بنقل الأحداث والفعاليات والأخبار بدقة, وتغطية كل القرارات والنشاطات الحكومية والأحداث العربية والعالمية عالميا, ومتابعة ما وراء الأخبار وتقصي للحقائق عبر تحقيقات ميدانية تهم المواطن المصري في كافة المجالات, متابعة القصص الانسانية والجانب الآخر من التغطية الخبرية, وتغطية الأخبار الخفيفة وأهم الأحداث الاقتصادية في مصر والعالم, وأبرز الموضوعات التقنية, وتطورات حربي غزة وأوكرانيا والحرب العالمية الثالثة




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                    • #25
                      Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

                      Commentary

                      Comment


                      • #26
                        Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

                        I can not get the Ministry of Health website to load.

                        Comment


                        • #27
                          Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

                          Originally posted by Florida1 View Post
                          machine translation


                          Human infection number "44"

                          بأنفلونزا الطيور..


                          Avian influenza ..
                          لطفلة من المنيا

                          The girl Minya

                          تأكدت الليلة



                          Last night confirmed human infection No. 44 contracted avian influenza in Egypt for 4-year-old girl from the village of Sheikh Massoud Center enemy Minya governorate.

                          صرح


                          Dr Abdulrahman Shaheen Media adviser and spokesman, Ministry of Health and Population said that the transfer of the patient after all tests and analyses necessary and giving real estate "Altamflo" enemy Central Hospital to a hospital Adviser Bakry Cairo.


                          وأوضح

                          He explained that the condition of medium and suffering from high temperature and shortness of breath and inflammation of the lungs and is a follow-up to their being.


                          http://www.algomhuria.net.eg/almessa/today/first/
                          New confirmed human influenza case in Egypt
                          Case number: 44

                          Reported on 26 February 2008

                          Ministry of Health and Population declare positive AI H5N1 human case in a girl 4 years old (case number 44) from El-Edwa district Minea governorate. The symptoms started February 21, 2008 and admitted to El-Edwa hospital February 24, 2008, the case confirmed today February 25, 2008 11:30 pm by Real Time PCR in Central Public Health Laboratory of Ministry of Health. She has a history of contact with sick poultry in backyard since one week. The case was referred to Manshyet El-Bakry General Hospital in Cairo February 25, 2008. The field investigation was started by Central team from Epidemiology and Surveillance Unit in Preventive Sector and Local Surveillance team to identify any other suspected in close contact and in the village, also to assist the Veterinary Staff in their field activities. The case started Tami Flu since suspected in February 24, 2008 and her general condition is moderate.
                          This brings up the total number of confirmed human cases of AI in Egypt to 44 with 19 deaths.

                          Comment


                          • #28
                            Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

                            Commentary at

                            Comment


                            • #29
                              Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

                              <TABLE class=lan18 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=hei22 vAlign=bottom height=25>Egypt confirms new human bird flu case
                              </TD></TR><TR><TD bgColor=#ffffff height=4></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=8></TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD width="48%">www.chinaview.cn 2008-03-02 05:52:44</TD><TD class=hui12 align=middle width="26%"> </TD><TD class=hui12 align=middle width="12%"> Print</TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="80%" border=0><TBODY><TR><TD height=20></TD></TR></TBODY></TABLE><TABLE class=lt14 cellSpacing=0 cellPadding=0 width="97%" align=center border=0><TBODY><TR><TD class=lt14>



                              CAIRO, March 1 (Xinhua) -- Egypt on Saturday confirmed that a 25-year-old woman was infected with bird flu virus, which was the 45th human infection case in the populous Arab country, the official MENA news agency reported.
                              The woman had been transferred from a local hospital in Fayyum,85 km south to Cairo, to a hospital in the capital after having developed the symptom of high fever and been treated with the antiviral drug Tamiflu, Health Ministry spokesman Abdel Rahman Shaheen was quoted as saying.
                              This is the second human bird flu case detected in a week in Egypt after a four-year-old girl on Monday was confirmed being infected with bird flu virus in El Minya governorate, Upper Egypt, some 220 km south of Cairo.
                              The girl is now still under treatment at Manshiat al-Bakri hospital in Cairo with her condition in stable, according to MENA. The Egyptian government has exerted more efforts to prevent further spread of bird flu since the fatal virus caused four human deaths in less than a week in late December, 2007. Among a total of 45 human cases in Egypt, 19 deaths have been reported since the country detected the first H5N1 virus in dead poultry in February 2006 and the first human case in March of the same year.

                              </TD></TR></TBODY></TABLE><TABLE cellSpacing=0 cellPadding=0 width="50%" align=center border=0><TBODY><TR><TD height=15></TD></TR></TBODY></TABLE><TABLE class=hei12 cellSpacing=0 cellPadding=0 width="90%" align=center border=0><TBODY><TR><TD align=right height=25>Editor: Yan Liang </TD></TR></TBODY></TABLE>

                              Comment


                              • #30
                                Re: Egypt Human Cases Feb 25th +, Girl tests positive for bird flu

                                Commentary

                                H5N1 Confirmed in Fayoum Egypt


                                Recombinomics Commentary 20:36
                                March 1, 2008

                                A 25-year-old Egyptian woman tested positive for bird flu on Saturday, the 45th confirmed human case in the Arab world's most populous country, state news agency MENA said.

                                The woman was suffering from a high fever, both her lungs were inflamed, and she was being kept on a respirator and under observation, Shaheen said.

                                The above comments describe the second confirmed H5N1 case in Egypt this week. Like the earlier case, this patient has also developed pneumonia. The recent case has pneumonia in both lungs and is on a respirator. This case is in Fayoum, which is adjacent to the location of the earlier case in Menya.

                                New cases in Egypt at this time of year are not unexpected, but the two most recent cases are more severe than infections in Egypt a year ago. More severe cases are not a surprise. Last season all cases with M230I were fatal. The recently released poultry sequences indicated M230I was still in circulation in Egypt, with and without V223I, the other receptor binding domain polymorphism in the Gharbiya cluster.

                                The recently released sequence data identifies an increase in the rate of H5N1 and increased genetic diversity and complexity, which includes non synonymous HA changes signaling vaccine escape.

                                The recent confirmed human cases follow H5N1 outbreaks in vaccinated flocks, raising additional concerns about the effectiveness of the current vaccine(s) in use.

                                Release of full sequences from the cases at the end of 2007 in Egypt would be useful.


                                .
                                "The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation

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