Egyptian man dies of bird flu, 10th death

[Dutchy]

Egyptian man dies of bird flu, 10th death

27 Dec 2006 13:07:50 GMT

CAIRO, Dec 27 (Reuters) - A 26-year-old Egyptian man died of bird flu on Wednesday after 10 days in hospital, an official of the World Health Organisation (WHO) told Reuters.

Brick factory worker Rida Farid Abdel Halim was the third member of an extended family in the Nile Delta province of Gharbia to die of the disease, said Hassan el-Bushra, WHO regional adviser for communicable diseases surveillance.

It was the 10th death from bird flu in Egypt since an outbreak of the deadly virus started in February.

http://www.alertnet.org/thenews/newsdesk/L27501060.htm

[Dutchy]

Egypt reports tenth bird flu death


CAIRO (AFP) - A 26-year-old Egyptian man has died from the H5N1 strain of bird flu.

Reda Abdel Halim Farid, from the central Nile Delta region of Zifta, is the tenth person to have died in Egypt after contracting the deadly strain, the health ministry in Cairo said Wednesday.

In a statement carried by the Egyptian news agency MENA, the health ministry said Farid died in a Cairo hospital. He had previously been admitted to a hospital in Zifta, in the Gharbiya governorate.

He was tested in the Cairo hospital after having been treated with the drug Tamiflu, but the results still showed signs of the deadly bird flu strain.

Farid is the third person from Zifta to have died from the virus.

On Monday, a 15-year-old girl died from the disease, and on Sunday a 30-year-old woman also died.

The ministry said it had conducted tests with persons close to Farid and there were no signs of the virus in any of them.

http://news.yahoo.com/s/afp/20061227...t_061227131203

[HenryN]

Commentary at

http://www.recombinomics.com/News/12...a_Fatal_3.html

[HenryN]

(Adds details, WHO, background)
CAIRO, Dec 27 (Reuters) - A 26-year-old Egyptian man died of bird flu on Wednesday, the third member of his extended family to die of the virus, a World Health Organisation (WHO) official told Reuters.
Brick factory worker Rida Farid Abdel Halim from the Nile Delta province of Gharbia had been in hospital for 10 days, Hassan el-Bushra, WHO regional adviser for communicable diseases surveillance, said.
It was the 10th death from bird flu in Egypt since an outbreak of the virus started in February.
Bushra said Egypt had no other bird flu patients receiving treatment. Eight Egyptians had contracted the disease and recovered.
A 15-year-old girl from the factory worker's family died on Monday and a female relative died the day before, raising concerns about the possibility of human-to-human transmission.
But John Rainford, a spokesman at WHO headquarters, said: "The evidence that we have so far seems to be putting it into a context similar to other cases that have emerged since February... What we do know so far seems to suggest that the cases do not necessarily stand out."
The family had raised ducks at home, and the brother and sister had slaughtered the flock after ducks fell sick and died.
The man showed symptoms of the disease on Dec. 14 and was admitted to a rural hospital three days later. He started receiving Tamiflu treatment on Dec. 20 after a second case appeared in his family and the medical staff learned that he may have come into contact with poultry, Bushra said.
Bird flu has killed at least 156 people worldwide since 2003, according to WHO figures. People can contract the virus by coming into contact with infected poultry but experts fear the virus could mutate into a form that passes easily from human to human, sparking a pandemic that could kill millions.
The outbreak of bird flu did extensive damage to the Egyptian poultry industry this year but preventive measures appear to have contained the disease.
Before the latest three deaths, only one person had died of the disease in Egypt since May.

http://www.alertnet.org/thenews/newsdesk/L27508270.htm

[Jeremy]

http://www.who.int/csr/don/2006_12_27a/en/

Avian influenza in Egypt

27 December 2006

The Egyptian Ministry of Health and Population has informed WHO of three new human cases of avian influenza A(H5N1) virus infection. All three cases belong to one extended family in Gharbiyah province, 80 kilometres northwest of the capital city, Cairo. While being transferred and cared for at the country's designated avian influenza hospital, a 30 year-old female, a 15 year-old girl and a 26 year-old male died. The most recent death occurred on 27 December. The cases reportedly had contact with sick poultry (ducks).

Clinical specimens from the three cases were tested positive for avian influenza A(H5N1) virus by Egyptian Central Public Health Laboratory. The virus was also detected in specimens from two of the three patients by US Naval Medical Research Unit No.3 (NAMRU-3). The samples will be sent to WHO Collaborating Centre for further testing including virus characterization.

The Egyptian Ministry of Health and Population is conducting further investigations and has initiated public health measures. The other family members remain healthy and have been placed under close observation.

[HenryN]

Originally Posted by Jeremy

http://www.who.int/csr/don/2006_12_27a/en/

Avian influenza in Egypt

27 December 2006

Clinical specimens from the three cases were tested positive for avian influenza A(H5N1) virus by Egyptian Central Public Health Laboratory. The virus was also detected in specimens from two of the three patients by US Naval Medical Research Unit No.3 (NAMRU-3). The samples will be sent to WHO Collaborating Centre for further testing including virus characterization.

Full sequences of all 8 gene segments for the above two isolates, as well as the Sept case, would be useful.

Of interest is M230I in HA as well as the additional polymorphisms acquired via recombination from other Qinghai strains circulating in the region.

[Sharpe]

It will also naturally be of great interest to compare the three sequences for evidence of clonality (h2h transmission).

[HenryN]

Originally Posted by Sharpe

It will also naturally be of great interest to compare the three sequences for evidence of clonality (h2h transmission).

Both common source and H2H should give similar sequences.

[HenryN]

Tanta - Atef Khamaisa :

أعلنت وزارة الصحة أمس وفاة الحالة العاشرة بمرض انفلونزا الطيور. لحق رضا عبدالحليم فريد- 16 سنة- بشقيقته انتصار- 16 سنة- وابنة عمه شفية- 17 سنة- اللتين توفيتا منذ ثلاثة أيام بنفس المرض. كان الضحايا الثلاث قد تم حجزهم بمستشفي حميات زفتي ونقلهم الي مستشفي الصدر بالعباسية لعلاجهم من المرض. يتم تشييع جثمان رضا بقريته كفر حانوت بزفتي اليوم. وناقش مجلس الوزراء أمس تقريرا حول عودة الاصابات بمرض انفلونزا الطيور.

The Ministry of Health announced yesterday the death of the ten contracted avian flu. Right Reza Farid Abd-16-year-Bshqiqeth victory-16 years - and his cousin Shafih-17 years - who died three days ago the same disease. The three victims had been detained pathogenesis Main Hospital and transferred to the chest Abbassiya Hospital for treatment of the disease. Reza is the funeral in his village of Kafr shop Pzfti today. The Cabinet discussed the report yesterday on the return of incidence of avian flu.

http://www.alwafd.org/v2/News/NewsDe...168dd832c93e5b

[AlaskaDenise]

Originally Posted by Sharpe

It will also naturally be of great interest to compare the three sequences for evidence of clonality (h2h transmission).

And Tamiflu resistance. When the details of symptom onset & antiviral administration timing are clarified this question will also be answered.

These labs must be very busy with all these cases, but I trust they'll do their usual thorough transparent reporting as soon as they're able.

.

[HenryN]

Another translation

إصابة ٧ حالات بشرية جديدة بأعراض مشابهة لأنفلونزا الطيور في الغربية والشرقية Injuring seven new human cases of symptoms similar to bird flu in the Western and Eastern

ارتفع عدد الحالات البشرية المشتبه في إصابتها بأنفلونزا الطيور إلي ٧ حالات جديدة في الغربية والشرقية أمس.قال الدكتور السيد الحسيني، وكيل وزارة الصحة بالغربية: نقلنا ثلاث مريضات إلي مستشفي حميات طنطا وهن: نورا صالح عبدالمنعم «٢٥ سنة ـ ربة منزل» من قرية سبطاس بمركز طنطا، The number of suspected human cases infected with avian influenza in the seven new cases in the Western and Eastern yesterday. Said Mr. Husseini, the Undersecretary of the Ministry of Health enough : We reported three patients to the hospital in Tanta They regimens : Nura Saleh Abdel-Moneim «25» housewife from the village of Tanta Sptas status, وآمال مصيلحي إسماعيل «٢٨ سنة ـ ربة منزل» ، وهانم أحمد فتوح الراعي «٥١ سنة ـ ربة منزل» من شبرا قاص، بمركز السنطة، لأخذ عينات وإرسالها للمعامل المركزية، كما تم أخذ عينات من ٣٣ فردا من أسرة انتصار فريد عبدالحميد من قرية كفر حانون مركز زفتي، التي توفيت أمس الأول، ويرقد شقيقها «رضا» ٢٦ سنة، وابنة شقيقها «شفية عبدالحليم» ١٦ سنة في مستشفي صدر العباسية. And hopes of the possibility of Ismail «28 years homemaker», ma'am Ahmed Fatuh sponsor «51 years homemaker» from Shubra Waqqas, the status Alsentah, sampling and sent to the labs Central, has also been taking samples from 33 members of a family victory Farid Abdul Hamid of the village of Kafr Hanoun Center Main, who died yesterday, and buried her brother «Reza» 26 years, and his son, brother «Shafih saying» 16 years in the hospital issued Abbasiya. وأعلن الدكتور محمد الرجبي مدير مستشفي حميات المحلة عن احتجاز حالتين للاشتباه فيإصابتهما بأنفلونزا الطيور هما: سونة محمد النجار «٥٥ سنة» من قرية صفط التراب، وإفراج السيد محمد «٥٢ سنة» من قرية شبرا بابل، وإرسال عينات منهما للمعامل المركزية. Dr. Mohamed Al-Rajabi hospital director pathogenesis of Mahala on the detention of two suspected avian influenza Fayasapthma are : Suna Mohammad Najjar »« 55 years of the village of Soft soil, and the release of Mr. Mohamed »« 52 years of the village of Shubra Babylon, and sending samples of their central labs. وشيع مواطنو «كفر حانون» جثمان «انتصار» أمس الأول، وسط أحزان أسرتها، التي كانت تستعد لإقامة حفل زفاف ابنة شقيقها المريضة «شافية». كما أعلن الدكتور عطية عبدالعزيز، مدير مديرية الطب البيطري في الشرقية عن نقل أمل حسن فوزي من منطقة موقف المنصورة بالزقازيق، وابنتها «فتحية سعيد» إلي مستشفي حميات الزقازيق. And so many of the citizens of Kafr Hanoun «» «victory» body yesterday, amid the grief of her family, which was preparing for a wedding ceremony in his ailing brother «satisfactory». Also, Dr. Attiya Aziz, Director of the Directorate of veterinary medicine in the eastern hope Hassan Fawzi transfer from the position of Mansoura She, and her daughter, Fathiya Said «» to the hospital pathogenesis of Zagazig. وفي الغربية قرر المحافظ الشافعي الدكروري استمرار غلق محال بيع الدواجن الحية وحظر تداولها في الأسواق. وأعلنت محافظات عديدة حالة استنفار لمواجهة أنفلونزا الطيور. In Western governor decided Shafie Aldkruri continued closure of shops selling live chickens and ban circulated in the markets. Declared several provinces alert to cope with avian flu. المصدر: المصري اليوم Source : Egypt Today

[MHSC]

Egypt faces grim bird flu situation

www.chinaview.cn 2006-12-29 06:25:45

CAIRO, Dec. 28 (Xinhua) -- Egypt witnessed three human bird flu death cases in only four days, the death toll of the human bird flu cases in the country rose to 10 and aroused some worries about spreading of the deadly disease.
Reda Abdel Halim Farid, a 26-year-old man from a big family living in the Egyptian Delta governorate of Gharbiya, some 90 km north of Cairo, died of the deadly H5N1 virus on Wednesday, became the third casualty in a week after another two members of the family, a 30-year-old woman and a 15-year-old girl, who died on Sunday and Monday respectively.
On the current bird flu situation in Egypt, Egyptian Health Ministry spokesman Abdel Rahman Shahine told Xinhua that the situation seems to be dangerous but it is under control, specially as people start to recognize how dangerous the virus is and directly inform the authorities of any suspected cases.
"H5N1 is a serious threat in Egypt and we set up a plan to take measures in cooperation with other ministries to deal with this problem," Shahine said.
He added that Egypt is cooperating with the World Health Organization and the EU among others to provide some vaccines to face the disease.
For his part, Egyptian Ministry of Environment senior official Ahmed el-Emary said that there would be serious problems during next March, the birds immigration season, when hundreds of birds come from the EU through Egypt on their way to Africa.
As for measures taken by the Egyptian government to deal with the grim situation, Egyptian cabinet spokesman Magdi Radi said that the country has designed a comprehensive plan in order to face the issue and a big number of Tamiflu, a kind of medicine against the bird flu disease, have already been imported.
Meanwhile, Radi asked people to stop buying alive birds to eat, recommending that it is better to change their habits and buy slaughtered birds which have been done under the supervision of the authorities.
The first bird flu case in Egypt was found in dead poultry on Feb. 17, 2006 and then the virus spread to 20 of the country's 26governorates, with the first human bird flu case in the Arab country reported on March 18, 2006.
Since then, a total of 18 reported human bird flu cases have been reported, among which 8 persons were cured.


http://news.xinhuanet.com/english/20...nt_5544665.htm

[Dutchy]

For the record:

Ministry of health announces death of the 10th case with bird flu in Egypt, 27/12/2006

The Ministry of Health announced today 27/12/2006 the death of the 10th human case resulting in bird flu.

The case is for a 26-years-old man living in Zifta, Gharbia Governorate. The case was transferred to the hospital due to being in contact with infected fowls.

Epidemic test was practiced with family members to clean the infection focus and they all tested negative.

This case is the 10th dead case among 18 human cases since discovery of virus in Egypt in February 2006.

http://birdflu.sis.gov.eg/html/flu0102218.htm

[HenryN]

AVIAN INFLUENZA, HUMAN (192): EGYPT, CORRECTION
***********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

[A discrepancy has arisen between the number of human cases and
deaths listed in a 27 Dec 2006 ProMED posting on the outbreak of
avian influenza in Egypt (Avian influenza, human (191): Egypt
20061227.3624), which are one fewer than the numbers of cases and
deaths now listed in the most recent cumulative total released by the
World Health Organisation (WHO) on 27 Dec 2006
(<http://www.who.int/csr/disease/avian_influenza/country/cases_table_2006_12_27/en/index.html>).

The error may have arisen from the ProMED Moderator's assumption that
the 30-year-old woman described in Avian influenza, human (189):
Egypt 20061224.3602 of 24 Dec 2006 was the same person as the woman
described in the WHO update of 27 Dec 2006 quoted in Avian influenza,
human (192): Egypt, WHO 20061228.3634 of 28 Dec 2006.

The CIDRAP News report of Wed 27 Dec 2006 which is consistent with
the WHO case and fatality counts is reproduced here to restore
clarity. - Mod.CP]

******
Date: Wed 27 Dec 2006
From: ProMED-mail <promed@promedmail.org>
Source: CIDRAP News, Wed 27 Dec 2006 [edited]
<http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/dec2706egypt.html>


A 26-year-old Egyptian man died of H5N1 avian influenza today [27 Dec
2006], the World Health Organization (WHO) reported, bringing to 3
the number of deaths from the disease since Christmas Eve [24 Dec
2006]. A 30-year-old woman died 24 Dec 2006, and a 15-year-old girl
died 25 Dec, several media outlets reported. The 3 patients become
Egypt's 16th, 17th, and 18th cases and the country's 8th, 9th, and 10th deaths.

All 3 patients were from an extended family living in the Gharbiya
province in the Nile Delta, about 50 miles northwest of Cairo, the
WHO reported. The patients died while being transferred and cared for
at Egypt's designated avian influenza hospital. Samples from the 3
patients tested positive for H5N1 avian influenza at the Egyptian
Central Public Health Laboratory. The virus was also detected in
samples from 2 of the patients in tests conducted at the US Naval
Medical Research Unit 3 (NAMRU-3). The WHO said the samples will be
sent to the WHO Collaborating Center for further testing and virus
characterization.

The WHO said other family members remain healthy and are under close
observation. The Egyptian health ministry is conducting further
investigations and has initiated public health measures. The 3
patients lived with 33 members of an extended family in a compound in
the town of Hanut, the New York Times reported today. The woman and
man were reported to be siblings, and the girl, their niece. They
reportedly fell ill after slaughtering ducks for a cousin's wedding,
the Times reported.

The new cases and deaths aren't surprising, Abdel Rahman Shaheen, an
advisor to Egypt's health ministry, told Agence France-Presse today.
"When we had a period of calm between May and October [2006], people
started thinking the disease was over, but we insisted on creating
more awareness among the people," he said. "We are still expecting
more cases, but the idea is to keep them to the smallest possible
number," he added.

The H5N1 virus first struck Egyptian poultry in February 2006, and a
series of human cases followed in April and May. Cases in poultry
resurfaced in Egypt 5 Sep 2006, when an outbreak was reported on a
farm in the southern province of Sohag, about 305 miles south of
Cairo. Another outbreak was reported in late September [2006] among
domestic birds at a home near Aswan, in southern Egypt, near the
border with Sudan. Several isolated cases of highly pathogenic H5N1
avian influenza in poultry have been reported in Egypt since
September [2006], according to a recent update from the World
Organization for Animal Health (OIE). Cases have been confirmed in 9 provinces.

http://www.promedmail.org/pls/promed..._ID:1000,35672

[HenryN]

Commentary at

http://www.recombinomics.com/News/12...a_Concern.html

[AlaskaDenise]

Originally Posted by niman

Commentary at

http://www.recombinomics.com/News/12...a_Concern.html

Commentary

H5N1 Cluster in Gharbiya Egypt Cause Concern
Recombinomics Commentary
December 30, 2006

Clinical specimens from the three cases were tested positive for avian influenza A(H5N1) virus by Egyptian Central Public Health Laboratory. The virus was also detected in specimens from two of the three patients by US Naval Medical Research Unit No.3 (NAMRU-3). The samples will be sent to WHO Collaborating Centre for further testing including virus characterization.

The above comments from the WHO update suggest sequence data on the Gharbiya cluster will be public soon. US NAMRU-3 submitted the HA`sequence, A/Egypt/12374-NAMRU3/2006(H5N1). from the first Egyptian H5N1 case for this season on October 13, two days after confirmation. The HA sequence was cause for concern because it included M230I, a change that extended the identity with influenza B to positions 226-230 (QSGRI). This region of identity is cause for concern because influenza B is efficiently transmitted human-to-human and increased efficiency of transfer generates clusters such as the one described above, which is the largest reported to date in Egypt. Moreover, these cases are much earlier than last season, when the first reported case in Egypt was in February.

Large clusters involving the Qinghai strain are cause for concern because there were several clusters in Turkey, Azerbaijan, and Iraq last season. Changes in the receptor binding domain were found in each cluster. In Turkey, clusters had S227N. In Azerbaijan, clusters had N186K. In Iraq, clusters had N186S and Q196R. All of these changes were in the Qinghai strain, which can readily transport and transmit changes over long distances because the strain is found in long range migratory birds.

Additional receptor binding domain changes have been found in other H5N1 strains, In China, Shanxi isolates has as many as five changes in or near the receptor binding domain (A188E, A189T, T192I, L194I, R220K, K222Q). Hunan isolates had four changes (D187N, A189E, T192I, L194I). Shantou isolates had three changes (K222R, V223I, S227R). One of these changes (V223I) was in a Qinghai isolate from Mongolia, A/bar-headed goose/Mongolia/1/05. Sequence from this isolate have already been traced from Mongolia to Egypt, so these changes could fly into the Middle East and generate additional combinations of receptor binding domain changes via recombination.

Therefore, it will be useful to quickly release the recent sequences from the large cluster in Gharbiya.

.

[Theresa42]

Report from the village where the 3 family members recently died...

babelfished from French:

Aviary influenza. With three new deaths, virus H5N1 continues to be propagated. In question, lack of sensitizing, the poverty and the inefficiency of the prevention campaigns. Report with Gharbiya, one of the hearths of the disease.

Fatal laxism
Semaine du 10 au 17 janvier 2007, numéro 644

The day of Wednesday December 27, 2006 upset Kafr Al-Naqib, in the governorship of Gharbiya, the delta of the Nile. This small village of 3,000 inhabitants, neglected a long time by the persons in charge, attracts in a few hours a number impressing of high persons in charge for the ministries for the Interior, Health, Agriculture, the Environment, and social Solidarity, accompanied by the mayor of the village. This agglomeration is in alarm since death, two weeks ago, of three young people resulting from the same family after to be reached virus H5N1 of the aviary influenza. It acts of Réda Abdel-halim Farid, 26 years old, of its s?ur [sister] Intissar, 30 years old, and their cousin Chaféya, a 15 year old teenager. Those raised ducks at the house. They decide to cut down poultries at the time of the weddings of Chaféya which take place on December 14. The evening, Intissar is the first to be suffered from an excessively high temperature "We do not have a medical unit in our village. Nearest is in the town of Zefta, to 12 km from here. Thus we tried to treat Intissar with residence, but without success. Its [her] health started to worsen so that it did not manage any more to breathe. The following day, Réda and Chaféya fell sick too. Three days after, we hospitalized them all in Zefta where they received during one week a treatment against the normal fever...," remembers Abdel-halim, the father of Intissar and Réda, old of 70. He is stopped on several occasions by the lamentations of his paralysed wife, who cries the fate of her two children in particular Réda who, working in a manufacturing plant of bricks, was the only support of his family made up of 10 members.

The state of the three young people worsens day after day and the fever continues to assemble "Anybody did not imagine [nobody imagined] that they were reached aviary influenza. It is thanks to a radiologist who noticed that the three resulted from the same family and suffered from the same symptoms. They were thus transferred to the Abbassiya Hospital from the feverish diseases in Cairo, where examinations showed that they had contracted the virus. And they took a treatment Tamiflu," continues Abdel-halim by adding that the doctors in Cairo affirmed to him that the late discovery of the virus made the treatment ineffective. However, Tamiflu must be taken under the 48 hours which follow the first symptoms. Reality that the Minister for Health, Hatem Al-Guabali, specified in an official statement on December 27 following the death of Réda. 5 days front, Intissar, connected to the apparatus of artificial respiration, dies and the following day, Chaféya undergoes the same fate.

These three cases changed to ten the number of dead people of the continuations of the aviary influenza. The figures provided by the ministry for Health indicate that 18 people were reached by the virus, of which 8 were restored whereas the others found death. The virus was announced for the first time among the poultries in February 2006, and the first human death was announced on March 18.

Which alternative to the poultry?

To the advertisement of died of the three victims, a state of alert was launched in the four corners of Kafr Al-Naqib. The forces of safety buckled the village. Persons in charge for the ministry for Health practised analyses on the inhabitants in particular those which were in contact with the three victims. Medical control proved that all were in good health, the necessary vaccines however were provided to them. Campaigns organized by persons in charge for the veterinary department to the ministries for Agriculture and Environment were launched in all the hearths in order to make sure that their owners do not raise poultries "They invaded all the houses and cut down our poultries and took them to bury them in a large pit dug with 1km of the entry of the village", explains Oum Mahmoud, close to the family of Abdel-halim. Like all the villagers, Oum Mahmoud was accustomed to raising poultries on the roof of its house to consume them or to sell them. Those constitute for it a source of cheap proteins, compared to the meats whose prices are exorbitant "the price of one kilo of meat reached 35 or at least 40 L.E. whereas the price of the duck which weighs 4 kilos does not exceed the 20 IT", add it, while affirming that the persons in charge let it [him] cut the throat of itself [himself] its [his] poultries without gloves and any medical measurement.

Just like the inhabitants, unquestionable poulterer lost, in a few minutes, their only source of income. It is the case of Hag Abdel-fattah, which had the only site for the sale of chickens "For fear me am confiscated my poultries, I cut the throat of myself 150 ducks that I keep for the sale. That made two weeks that I do not work more, just as three others of my employees", denounces it. "The government compensates only the owners for the farms and the authorized buildings of sale. But, we, who work in the villages, we do not form part of this category. I do not know how we will live, my family is made up of seven members...", rises it.

During two weeks, vehicles furrowed the village inviting the villagers to put a term at the domestic breeding of the poultries. A public awareness campaign was launched in the mosques and to the house of the mayor of the village to push the inhabitants to be put an end to this practice. A campaign which somewhat calmed down today. The villagers have lived for these two last weeks in panic. It is not the fear of being reached virus, but that to lose their poultries, their only livelihood. So some hasten to get rid of their chickens, others continue the breeding clandestinely. And the easy ways vary: "Instead of the roofs or of the courses, as usual, they hide their poultries in the rooms to be laid down, under the beds, in the cupboards or even in the furnaces with the risk to endanger their health. It is the only means so that our poultries are not discovered by the persons in charge. Without them, we will be completely stripped because nobody compensates us", affirms one of the inhabitants. Although the preventive countryside ceased, the villagers are always with the aguets. As soon as a foreigner is seen in the village, the inhabitants who are in the street precipitate to inform the neighbors who still keep their poultries.

With two kilometers of Kafr Al-Naqib, the scene is completely different: in the village of Dahtoura, the inhabitants do not have any concern. They raise their poultries publicly. One can even easily see the women washing the linens on bank of the Nile, accompanied by the poultries "Why to hide them or cut the throat of them as long as they are in good condition? The persons in charge for the preventive countryside, in its way towards Kafr Al Naqib, saw us and did not say anything. The day when the virus will have reached our village, we will occupy ourselves of that", concludes slightly Fatma, a villager of Dahtoura. [C'est la vie....]

Héba Nasreddine

http://hebdo.ahram.org.eg/arab/ahram.../10/egypt4.htm

[Theresa42]

So, more information on the onset dates/dates of admission for the Farid family members:

They decide to cut down poultries at the time of the weddings of Chaféya which take place on December 14. The evening, Intissar [30F] is the first to be suffered from an excessively high temperature "We do not have a medical unit in our village. Nearest is in the town of Zefta, to 12 km from here. Thus we tried to treat Intissar with residence, but without success. Its [her] health started to worsen so that it did not manage any more to breathe. The following day [Dec 15?], Réda and Chaféya fell sick too. Three days after [Dec 17?], we hospitalized them all in Zefta where they received during one week a treatment against the normal fever...," remembers Abdel-halim, the father of Intissar and Réda, old of 70.

[HenryN]

Originally Posted by Theresa42

Report from the village where the 3 family members recently died...

babelfished from French:


The state of the three young people worsens day after day and the fever continues to assemble "Anybody did not imagine [nobody imagined] that they were reached aviary influenza. It is thanks to a radiologist who noticed that the three resulted from the same family and suffered from the same symptoms. They were thus transferred to the Abbassiya Hospital from the feverish diseases in Cairo, where examinations showed that they had contracted the virus. And they took a treatment Tamiflu," continues Abdel-halim by adding that the doctors in Cairo affirmed to him that the late discovery of the virus made the treatment ineffective. However, Tamiflu must be taken under the 48 hours which follow the first symptoms. Reality that the Minister for Health, Hatem Al-Guabali, specified in an official statement on December 27 following the death of Réda. 5 days front, Intissar, connected to the apparatus of artificial respiration, dies and the following day, Chaféya undergoes the same fate.


Héba Nasreddine

http://hebdo.ahram.org.eg/arab/ahram.../10/egypt4.htm

The above comments support the collection of swabs from patients BEFORE Tamiflu treatment in Cairo.

[Laidback Al]

My distillation of the dates derived from all of the posts.

Intissar:
Onset date: 12/14/2006
First hospitalization date: 12/17/2006 in Zefta
Moved to Sadr Abbassiya Hospital: ?
Died: 12/24/2006

Reda:
Onset date: 12/15/2006
First hospitalization date: 12/17/2006 in Zefta
Moved to Sadr Abbassiya Hospital: 12/20/2006?
Died: 12/27/2006

Shafika:
Onset date: 12/15/2006
First hospitalization date: 12/17/2006 in Zefta
Moved to Sadr Abbassiya Hospital: 12/20/2006?
Died: 12/25/2006