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It's not 100% clear to me, but I'm leaning toward the interpretation that they're saying that currently there are tens or dozens of suspected cases in hospitals all across Egypt (not just this one hospital).
Here's an alternative machine-translation to the Google one:That's not surprising, though. We just saw the other day that there were 620 suspected cases in Egypt in the 6 weeks between Jan 17 - Feb 27. That's prolly tens or dozens at any given time.:
But there are many levels of "suspect cases'. My guess is that most of the suspect cases (which I would guess are primarily seasonal flu patients with a poultry link), are NOT hospitalized (and the large number that were hospitaized in January was unusual, and do in part to the earlier announced confirmed fatalities). This could be a repeat, but it seems to be on the early side because the two most recent cases were just announced.
The Associated Press
Wednesday, March 5, 2008 GENEVA: Egypt has reported its 46th case of bird flu in a human being after an 11-year-old boy tested positive for the H5N1 strain, the UN health agency said Wednesday.
The boy from Menofia governorate was hospitalized with symptoms on Feb. 26, the World Health Organization said on its Web site.
Egypt is one of the countries most affected by the H5N1 strain outside Asia, where the outbreak began in 2003. The country lies on a main route for migratory birds, which are believed to have brought the disease. Experts also link outbreaks in countries such as Egypt to a lack of financial resources and public awareness about the disease.
The H5N1 strain has hit 45 countries and led to the culling of millions of birds worldwide. The virus has infected more than 340 people and killed at least 212 since 2003, mostly in Asia.
In Egypt, 20 people have so far died from the virus.
But there are many levels of "suspect cases'. My guess is that most of the suspect cases (which I would guess are primarily seasonal flu patients with a poultry link), are NOT hospitalized (and the large number that were hospitaized in January was unusual, and do in part to the earlier announced confirmed fatalities). This could be a repeat, but it seems to be on the early side because the two most recent cases were just announced.
As far as I understand it, the Egyptian government's definition of what a suspected H5N1 case is includes being hospitalized.
This is from the first report (that I know of) of the total number of suspected cases according to the Egyptian government:
Dr Al Nasr Mr. undersecretary of the Ministry of Health and head of the preventive affairs ministry: ... the presence of suspect cases of avian flu has reached the number suspected of being infected with the disease in 3285 people are from the disease entered the hospital during the past year and so far have been taking samples from persons were analyzed in labs the Ministry of Health has been taking samples from the dead birds have been analyzed in the lab veterinary.
Mar 5, 2008 (CIDRAP News) ? The World Health Organization (WHO) today reported that an 11-year-old Egyptian boy is hospitalized in critical condition with an H5N1 avian influenza infection, a day after the agency announced the death of a 25-year-old Egyptian woman from the virus.
The boy is from Menofia governorate, north of Cairo, according to a WHO statement. He was hospitalized with influenza symptoms on Feb 25, and his samples were positive for the H5N1 virus in tests by Egypt's Central Public Health Laboratory and the Cairo-based US Naval Medical Research Unit 3 (NAMRU-3).
The WHO said an investigation into the source of the boy's infection revealed that he had contact with sick and dead poultry.
Yesterday the WHO reported that a 25-year-old woman from Fayoum governorate, about 53 miles south of Cairo, died of an H5N1 infection. In its statement, the WHO said she got sick on Feb 24 and was hospitalized 3 days later; the date of her death was not listed. Egypt's health ministry had announced the confirmation of her case on Mar 1, according to earlier media reports.
An investigation into the woman's illness indicated she had contact with sick and dead poultry before she got sick, the WHO reported.
With the two latest cases, Egypt has had 46 H5N1 cases and 20 deaths, including 3 cases and 1 death this year. The WHO's global total is 371 cases and 235 deaths. See also:
Mar 5 WHO statement
Mar 4 WHO statement
Mar 3 CIDRAP News story "New case raises Egypt's H5N1 count to 45" WHO global H5N1 case count
Hospitalized Suspect H5N1 Patients in Egypt Recombinomics Commentary 19:36
March 5, 2008
The case is an 11-year-old male from Menof District, Menofia Governorate. He was hospitalized with symptoms on 26 February and was confirmed as being infected with A(H5N1) by the Central Public Health Laboratory and NAMRU-3 on 4 March. He remains in a critical condition.
To the present, the hospital dietary and chest in a large number of provinces, yesterday, the detention of dozens of cases suspected of carrying avian influenza.
The above comments on the latest confirmed case in Egypt are from the latest WHO update, confirming that the case is in critical condition. Thus, all three recent confirmed cases have developed pneumonia. One (25F) has died, one (11M) is in critical condition, and one (4F) is in stable condition.
However, the above translation from local media describes a large number of hospitalized suspect cases. It is unclear if these additional cases have also develop pneumonia, or if they are hospitalized as a precaution. Earlier this year large numbers of patients were hospitalized following confirmation of H5N1 cases in late December. Those cases did not test positive for H5N1 and many were said to have had seasonal flu. Thus, the coincidence with seasonal flu season at this time may indicate that these are patients hospitalized due to an abundance of caution.
More details on the condition of these patients, including their pneumonia status, 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
New confirmed human influenza case in Egypt
Case number: 46
Reported on 4 March 2008 The Ministry of Health and Population of Egypt has declared a new H5N1 human case no. 46, a male, 11 year old, from Sedod Village, Menof district, Menofia Governorate. The case is still alive and was diagnosed with H5N1 on 4 March 2008 by Central Public Health Laboratory, MOH, and confirmed by NAMRU-3. The case was hospitalized in Menof Fever Hospital on 26 February suffering from Chest Infection. The family denied any history of contact with poultry. The case was suspected on the 2nd of March after sings of pneumonia which appeared in chest x-ray (bilateral) and referred to Manshyet El-Bakry General Hospital on the 4<SUP>th</SUP> of March. Field investigation conducted on the same day indicated history of contact with sick and dead poultry. The general condition of the patient is critical and the child is not yet on ventilator. This brings up the total number of confirmed human cases of avian influenza in Egypt to 46 with 20 deaths.
Update on case Number 45
(Fayum Governorate) The National IHR Focal Point in the Ministry of Health and Population of Egypt reported the death of Fayum case No.45 on 4 March 2008. This brings up the total number of death from avian influenza infection in Egypt to 20 deaths
(Number of cases=45; Number of deaths=20).
AVIAN INFLUENZA, HUMAN (34): EGYPT, WHO
***************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>
Egypt: avian influenza situation - WHO update 6
-----------------------------------------------
The Ministry of Health and Population of Egypt has announced a new
human case of avian influenza A(H5N1) virus infection. The case is an
11-year-old male from Menof District, Menofia [Al Minufiyah]
governorate. He was hospitalized with symptoms on 26 Feb 2008 and was
confirmed as being infected with A(H5N1) by the Central Public Health
Laboratory and NAMRU-3 on 4 Mar 2008. He remains in critical condition.
Investigations into the source of his infection indicate a history of
contact with sick and dead poultry.
Of the 46 cases confirmed to date in Egypt, 20 have been fatal.
[A map of the governorates (provinces) of Egypt can be accessed at
<http://www.map-of-egypt.org/map-of-egypt.gif>. Al Minufiyah
governorate lies in the populous Nile delta region just north of
Cairo. - Mod.CP]
[see also:
Avian influenza, human (33): Egypt, WHO 20080305.0900
Avian influenza, human (32): Egypt, WHO 20080302.0849
Avian influenza, human (31): China, Egypt, Viet Nam, WHO 20080226.0784
Avian influenza, human (07): Egypt 20080113.0171
Avian influenza, human (03): Egypt, Pakistan, WHO 20080104.0038
Avian influenza, human (02): Egypt, Viet Nam 20080103.0029
Avian influenza, human: Egypt 20080101.0006
2007
----
Avian influenza, human (180): Egypt 20071231.4194
Avian influenza, human (179): Egypt 20071230.4183
Avian influenza, human (178): Egypt, Viet Nam, WHO 20071228.4163
Avian influenza, human (177): Pakistan, Viet Nam, Egypt 20071227.4152
Avian influenza, human (176): Egypt, Indonesia, Viet Nam, WHO 20071226.4146]
...................................cp/mj/dk
Does the above indicate there are currently dozens of hospitalized suspect cases, or simply indicate that cummulatively, the hospital has treated dozens of suspect cases?
My contact in Egypt says the meaning is that the hospitals in many governates have cumulatively tested/treated/investigated many suspect cases.
My contact in Egypt says the meaning is that the hospitals in many governates have cumulatively tested/treated/investigated many suspect cases.
Thanks, Florida1!
That's actually very useful to know -- not just for the situation now, but in order to interpret any comments like that in the Egyptian press in the future.
...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes
Mother and daughter suspected cases in Menya/Minya governorate.
Google-translated from Arabic:
Reservation mother and daughter modules on suspicion of injured bird flu
Menya - Nabil Yousef:
Reservation was a mother and her daughter on suspicion of injured bird flu Valley.
Major General Muhammad received Noureddine Security Chief Menya notification from the hospital salt Menya seizure of Marsa behind George 35 years of bad Ebeid modules and daughter Orlen Club Massoud 4 years on suspicion of injured bird flu sample was taken and sent to their labs and Health Ministry in Cairo.
Commissioned Major General Fuad Saad Eddin governorate of Menya Directorate of Veterinary Medicine follow-up cases.
Mother and daughter suspected cases in Menya/Minya governorate.
Google-translated from Arabic:
Reservation mother and daughter modules on suspicion of injured bird flu
Menya - Nabil Yousef:
Reservation was a mother and her daughter on suspicion of injured bird flu Valley.
Major General Muhammad received Noureddine Security Chief Menya notification from the hospital salt Menya seizure of Marsa behind George 35 years of bad Ebeid modules and daughter Orlen Club Massoud 4 years on suspicion of injured bird flu sample was taken and sent to their labs and Health Ministry in Cairo.
Commissioned Major General Fuad Saad Eddin governorate of Menya Directorate of Veterinary Medicine follow-up cases.
Any news on transfer to Cairo or details on their condition?
No. I checked all the Egyptian papers that I normally "read" and this was the only story about this mother & daughter -- and it was tucked away on a back page of Al Messa.
It is Saturday and that is a very slow news day in Egypt (like Sunday for us).
...when you have eliminated the impossible, whatever remains, however improbable, must be the truth. - Sherlock Holmes
[-] Text [+] CAIRO, March 8 (Reuters) - An 8-year-old boy in Fayoum province has contracted the bird flu virus after coming into contact with infected birds -- the 47th case among humans in Egypt since 2006, the Health Ministry said on Saturday.
The boy, Abdel Hamid el-Sayed Youssef, was taken to a local hospital with a high temperature, difficulty breathing and a pulmonary inflammation, spokesman Abdel Rahman Shahine said in a statement.
He moved to a Cairo hospital on Friday and is being treated with Tamiflu, the standard treatment for humans, it said.
An Egyptian woman from the same province southwest of Cairo died of the disease last week but a health official said there did not appear to have been contact between them.
Altogether 20 people have died of bird flu in Egypt since it arrived in the country in February 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. (Writing by Jonathan Wright, editing by Mary Gabriel)
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