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  #1  
Old December 30th, 2007, 01:29 PM
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Default EGYPT 31 Dec 2007 - 1 Jan 2008

(2a) [AVIAN INFLUENZA, HUMAN, EGYPT] Egypitan woman dies of bird flu, 2nd in week [http://www.alertnet.org/thenews/newsdesk/L30241798.htm]

30 Dec 2007 17:50:44 GMT
Source: Reuters

CAIRO, Dec 30 (Reuters) -

A 25-year-old Egyptian woman died of bird flu on Sunday, the second fatality among humans in Egypt in less than one week, the Health Ministry said.

Fatma Fathi Mohamed died in hospital in the Nile Delta city of Mansoura, three days after she was admitted to a smaller local hospital with a high temperature and difficulty breathing, it said in a statement carried by the state news agency MENA.

Her death was the 17th in Egypt since the virus was first detected in February 2006. (Writing by Jonathan Wright; editing by Keith Weir)

AlertNet news


-
[World Health Organization confirmed the death of a 25 year old female patient from Beni Souef (http://www.who.int/csr/don/2007_12_26a/en/index.html) and two additional cases (one from Damietta, a 50 year old female and one from Menoufia, another female of 22 years of age (http://www.who.int/csr/don/2007_12_28a/en/index.html)). The above report seems to be related to an additional - to date unreported - case. - ms.]
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  #2  
Old December 30th, 2007, 04:06 PM
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Default Re: .:.17th H5N1 death in EGYPT.:.

Commentary

http://www.recombinomics.com/News/12...Confirmed.html
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  #3  
Old December 30th, 2007, 04:16 PM
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Default Re: .:.17th H5N1 death in EGYPT.:.

Quote:
Originally Posted by niman View Post
Commentary

Fourth Confirmed H5N1 Case in Egypt This Week

Recombinomics Commentary 20:48
December 30, 2007

Fatma Fathi Mohamed died in hospital in the Nile Delta city of Mansoura, three days after she was admitted to a smaller local hospital with a high temperature and difficulty breathing, it said in a statement carried by the state news agency MENA.

The above comments describe the fourth confirmed H5N1 case in Egypt this week. The case is also the second fatality, suggesting a more virulent H5N1 is circulating in Egypt at this time. The other two patients are in critical condition or in the ICU.

H5N1 has been spreading in Egypt this week, indicating more human cases are likely.

.
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  #4  
Old December 30th, 2007, 07:10 PM
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Default Re: .:.17th H5N1 death in EGYPT [Fatma Fathi Mohamed].:.

Hat-tip, christian!

Egyptian woman dies of bird flu, 2nd in week
30 Dec 2007 18:23:19 GMT
Source: Reuters

(Adds details of other recent cases)

CAIRO, Dec 30 (Reuters) - A 25-year-old Egyptian woman died of bird flu on Sunday, the second fatality among humans in Egypt in less than one week, the Health Ministry said.

Fatma Fathi Mohamed died in hospital in the Nile Delta city of Mansoura, three days after she was admitted to a smaller local hospital with a high temperature and difficulty breathing, it said in a statement carried by the state news agency MENA.

Her death was the 17th in Egypt since the deadly virus arrived in February 2006 and it was the 42nd case of bird flu reported among humans in the Arab world's most populous country.

The Health Ministry said that the latest victim was suspected of handling sick domestic birds -- the usual way of contracting the virus in Egypt.

On Wednesday last week another 25-year-old woman, Ola Younis, died of bird flu in Beni Suef province south of Cairo, the first case of this winter season.

It is the third winter that the virus has struck, after appearing to remain dormant during the hot summers.

The health ministry said on Thursday that two other Egyptians had contracted the disease and were receiving treatment. But the latest death was not one of those and one health official said those two were still in hospital.

John Jabbour, an official at the World Health Organisation (WHO), said last week that the new cases were not surprising.

"The agent is there... Since July we've had no human cases and many things calmed down, so people returned to dealing with live birds as usual. Since the virus is there, we expect to have human cases. It's not a surprise at all," Jabbour said.

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.

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.

The virus has killed 212 people since it re-emerged in 2003, according to the most recent figures from the WHO.

http://www.alertnet.org/thenews/newsdesk/L30243102.htm
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  #5  
Old December 30th, 2007, 07:13 PM
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Default Re: .:.17th H5N1 death in EGYPT [Fatma Fathi Mohamed].:.

Hat-tip, christian!

Egypt announces new bird flu death
Monday Dec 31 05:57 AEDT

Egypt's health ministry on Sunday announced the death of a 25-year-old woman from the H5N1 strain of bird flu -- the second case in a week.

Fatma Fathi Mohammed, 25, died in hospital in the Nile Delta province of Mansura, where she was admitted on December 27 after complaining of high fever and shortness of breath, health ministry spokesman Abdel Rahman Shahin said in a statement carried by the official MENA news agency.

Mohammed, who comes from neighbouring Daqahliya province, had been exposed to infected poultry, Shahin said.

It was the 42nd case reported in humans since the virus first appeared in the country in February 2006. Her death was the 17th in Egypt.

She was the second woman to die of bird flu in a week. Oula Yunes Ali, 25, died on Tuesday after being admitted to hospital the previous Friday with a high fever.

Two others have been diagnosed with the disease since Ali's death.

The first case is a 50 year old woman from Damietta province who was hospitalized on December 24 and is in a critical condition, according to the World Health Organisation.

The second case is a 22-year-old woman chicken seller from Menufia province. She was admitted to hospital on December 26 and is currently recovering in intensive care, the WHO said.

Health Minister Hatem al-Gabali warned against "slackness in the preventive measures taken to fight bird flu especially as winter approaches."

Following Tuesday's death, Shahin called on the public to remain vigilant and deplored the relaxation of precautions because of the belief that the virus had disappeared. Her death was the first in six months.

Shahin called for "banning the raising of fowl in towns, transporting them between provinces without authorisation and also reinforcing controls on where they are raised and sold."

He warned that sick people denying they have been in contact with contaminated domestic fowl makes it more difficult to detect the virus and to treat it, which leads to people dying.

Women and children have borne the brunt of the virus because of their role in taking care of domestic fowl.

Egypt's location on major bird migration routes and the widespread practice of keeping domestic fowl near living quarters have led to it being the hardest-hit country outside Asia.

The government says it is conducting a vigorous campaign to combat the spread of the virus through vaccinations and raising awareness.

The World Health Organisation said earlier this year that countries around the world had improved their defences against bird flu, but the situation remained critical in Egypt and Indonesia where the risk of the H5N1 virus mutating into a major human threat remains high.

http://news.ninemsn.com.au/article.aspx?id=341008
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  #6  
Old December 30th, 2007, 07:17 PM
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Default Re: .:.17th H5N1 death in EGYPT [Fatma Fathi Mohamed].:.

Is it not interesting that no other family members have been sickened?

Rural Egypt is populated by extended families living in multilevel buildings, the roofs of which are used for sunbread baking. There are always a myriad of children present. They play in the fields, streets and rooftops.

I'm surprised that so far this strain, while high path, and in fact, very high path, as Niman says 2 dead and 2 critical, would mean, but for Tamiflu, 100% mortality, has not yet shown itself to be H2H.

It will be most interesting to see the genetics...to see if this strain is Tamiflu resistant. This will be known momentariliy, if the Health authorities are candid and open with their facts. Egypt, now for 2 years, has been the most responsible in the release of their findings, and are to be lauded for this outstanding openness. Thank you to each involved at the Egyptian Health Authority and its closely cooperating American entity, NAMRU3.
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  #7  
Old December 30th, 2007, 07:17 PM
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Default Re: .:.17th H5N1 death in EGYPT [Fatma Fathi Mohamed].:.

Hat-tip, christian!

25-year-old Egyptian woman dies of bird flu, country's 17th fatality
The Associated Press
Published: December 30, 2007

CAIRO, Egypt: A 25-year Egyptian woman has died of bird flu after apparently contracting the disease from poultry, the Health Ministry said Sunday.

Fatima Fathi Mohammed was the second fatality and the third case of the lethal virus announced by Egypt in less than a week.

Mohammed, a resident of the Nile Delta province of Daqahliya, was admitted to hospital on Friday [Dec 28] suffering from high fever and breathing difficulties, Ministry spokesman Abdel-Rahamn Shahin said.

She was later tested positive on the H5N1 strain of bird flu, he said in a statement. "She was in contact with fowl suspected of having the virus," he said.

Mohammed died Sunday, bringing to 17 the number of Egyptians to have succumbed to the fatal strain since it first appeared in the country last year.

On Wednesday, Ola Youness Mohammed, from the town of Beni Soweif, some 200 kilometers (130 miles) south of Cairo, died of bird flu.

On Friday, the World Health Organization said two women in Egypt have tested positive for a lethal strain of bird flu. The U.N. health agency said a 50-year-old woman was hospitalized with the H5N1 strain of the disease on Dec. 24 and is in critical condition. A 22-year-old female chicken seller infected with the same strain was hospitalized Dec. 26 and is recovering in intensive care, it said.

The cases, which were reported by Egypt's Ministry of Health, bring the total number of H5N1 infections in the country to 41, including the 17 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.

Egypt is one of the countries most affected by the H5N1 strain outside Asia, where the bird flu outbreak began. The country lies on a main route for migratory birds, which are believed to have brought the disease.

The H5N1 strain of bird flu has hit 45 countries has and killed nearly 200 people worldwide since 2003. It has resulted in the culling of millions of birds. The virus has infected more than 340 people and killed at least 212 since 2003, mostly in Asia.

http://www.iht.com/articles/ap/2007/...t-Bird-flu.php
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  #8  
Old December 30th, 2007, 07:52 PM
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Default Re: .:.17th H5N1 death in EGYPT [Fatma Fathi Mohamed].:.

Interestingly, all of these four recent cases have been announced either in the evening or late at night Egypt time. Takes an extra day, then, for most of the Egyptian newspapers to get the story out.

Google-translated from Arabic:

The death of a woman from Dakahlia illness after bird flu
12/30/2007 7:32:00 PM

CAIRO - Dr. Abdul Rahman Al Shaheen, spokesman for the Ministry of Health and Population on Sunday the death of the impact of new cases of avian influenza illness.

Shaheen said in a statement that confirmed case of human infection No. 42 contracted bird flu, a sick alleges Fatima Mohamed Fathi 25 years from the Centre Address Dakahlia governorate.

He pointed out that it had entered the hospital salt Address on December 27 are suffering from high temperature and narrow breathing and pneumonia after exposure to birds suspected of being infected with bird flu disease, and was transferred to a hospital Mansoura on Saturday [Dec 29], and died Sunday [Dec 30].

It is noteworthy that this is the case of death No. 17 in Egypt for monitoring the disease for the first time in February 2006.

And Dr. Hatem mountain Minister of Health has warned of lax methods preventive health in the face of bird flu, especially with the entry of winter; stressing the necessity of maintaining the success achieved by Egypt in the face of this disease - which praised by the international organizations working in the field of health.

She said the Ministry of Health on Thursday that the Egyptians and others suffered illness receive treatment. But death is not the last case patients and health official said that the cases are still in hospital.

John Jabbour said an official of the World Health Organization last week that the emergence of new cases is not a surprise.

Jabbour said "the virus exists .. Since July were not to have human cases and calmed down a lot of things and therefore returned to the people dealing with living birds as usual. Virus exists, because we expect that there will be human cases ... is not a surprise at all."

And promote the government programme to vaccinate birds, but difficult to coercive measures applied.

And adopt a five million houses in Egypt for poultry as a major source of food and income, the government said that this makes it unlikely that the eradication of the disease.

Health experts fear that the virus mutated into a form spread rapidly from one person to another on a pandemic that could kill millions of people.

The virus killed 212 2003, according to the latest figures from the World Health Organization.

http://www.masrawy.com/News/2007/Egy...flu_death.aspx
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  #9  
Old December 30th, 2007, 08:05 PM
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Default Re: .:.17th H5N1 death in EGYPT [Fatma Fathi Mohamed].:.

Outbreak in backyard poultry in Dakahliya mentioned by the head of the Veterinary Services just the other day (on Fri, the 28th):

http://www.flutrackers.com/forum/sho...ight=Dakahliya
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  #10  
Old December 31st, 2007, 05:51 AM
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Default Re: .:.17th H5N1 death in EGYPT [Fatma Fathi Mohamed].:.

Updated map

http://maps.google.com/maps/ms?ie=UT...1&t=h&z=7&om=0
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  #11  
Old December 31st, 2007, 06:00 AM
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Default Re: .:.17th H5N1 death in EGYPT [Fatma Fathi Mohamed].:.

Is there any way to know what treatment the infected are receiving?

By now wouldn't Tamiflu be started immediately?
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  #12  
Old December 31st, 2007, 10:21 AM
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Default Re: .:.17th H5N1 death in EGYPT [Fatma Fathi Mohamed].:.

The death of new cases contracted the avian flu

أعلن الدكتور عبد الرحمن شاهين المتحدث باسم وزارة الصحة والسكان اليوم /الأحد/ وفاة حالة جديدة اثر إصابتها بمرض انفلونزا الطيور .
Dr. Abdel Rahman Shahin spokesman of the Ministry of Health and Population Day / Sunday / death after being shot new cases of avian influenza disease.

وقال شاهين في بيان له أمس 30-12-2007 انه تأكدت اصابة الحالة البشرية رقم 42 بمرض انفلونزا الطيور ، وهى لمريضة تدعى فاطمة فتحى محمد /25 عاما/ من مركز دكرنس بمحافظة الدقهلية .
Shaheen said in a statement yesterday 30-12-2007 it confirmed case of human infection No. 42 disease bird flu, a sick alleges Fatima Mohamed Fathi / 25 years old / Center Dkrns Dakahlia governorate.

واشار الى أنها قد دخلت مستشفى حميات دكرنس يوم 27 ديسمبر الجاري وهى تعاني من ارتفاع في درجة الحرارة وضيق بالتنفس والتهاب رئوي عقب تعرضها لطيور يشتبه في اصابتها بمرض انفلونزا الطيور ، وتم تحويلها الى مستشفى صدر المنصورة أول ، وتوفيت أمس .
He pointed out that it had entered the hospital pathogenesis Dkrns on December 27 under which suffers from high temperature and narrow breathing and pneumonia after exposure to infected birds suspected to have contracted the bird flu, was transferred to the hospital was the first of Mansoura, died yesterday.

http://translate.google.com/translat...G%26as_qdr%3Dd
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  #13  
Old December 31st, 2007, 01:32 PM
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Default Egypt 31 Dec 2007 - 1 Jan 2008, Fatma Fathi Mohammed, 25

Woman dies of bird flu in Egypt, fourth in week-WHO
31 Dec 2007 18:24:13 GMT
Source: Reuters

CAIRO, Dec 31 (Reuters) - A woman died of the H5N1 strain of bird flu in northern Egypt on Monday, the country's fourth fatality from the virus in less than a week, the World Health Organisation said.
John Jabbour, an Egypt-based official with the WHO, said this and all other recent cases were believed to have been caused by exposure to sick or dead back-yard birds. (Reporting by Cynthia Johnston; Editing by Michael Winfrey)

http://www.alertnet.org/thenews/newsdesk/L31519688.htm
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Old December 31st, 2007, 01:33 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

Quote:
Originally Posted by niman View Post
Woman dies of bird flu in Egypt, fourth in week-WHO
31 Dec 2007 18:24:13 GMT
Source: Reuters



CAIRO, Dec 31 (Reuters) - A woman died of the H5N1 strain of bird flu in northern Egypt on Monday, the country's fourth fatality from the virus in less than a week, the World Health Organisation said.
John Jabbour, an Egypt-based official with the WHO, said this and all other recent cases were believed to have been caused by exposure to sick or dead back-yard birds. (Reporting by Cynthia Johnston; Editing by Michael Winfrey)

http://www.alertnet.org/thenews/newsdesk/L31519688.htm
It is unclear if this fourth fatality is one of the two surviving cases confirmed last week, or is a sixth confirmed case.
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Old December 31st, 2007, 02:03 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

Commentary at

http://www.recombinomics.com/News/12...t_Fatal_4.html
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Old December 31st, 2007, 02:13 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

Two Egyptian women die of bird flu
31 Dec 2007 19:00:36 GMT
Source: Reuters



(Adds second death on Monday)
CAIRO, Dec 31 (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.
All four cases involved women and are believed to have resulted from exposure to sick or dead back-yard birds.
Firdaus Mohamed Hadad of Menoufia province in the Nile Delta was taken to hospital on Saturday and died early on Monday, the 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 official with the WHO, said a second, unnamed, woman died of the H5N1 strain of bird flu in northern Egypt.
The deaths were the 18th and 19th bird flu fatalities in Egypt since the virus arrived 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 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.
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.
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 Cynthia Johnston; Editing by Stephen Weeks)

http://www.alertnet.org/thenews/newsdesk/L31423521.htm
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Old December 31st, 2007, 03:36 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

Egypt records 19th bird flue fatality after two women die Monday

Associated Press , THE JERUSALEM POST Dec. 31, 2007



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.
The Health Ministry first reported Monday the death of Fardous Mahammed Hadad, 36, from Menoufia, 60 kilometers north of Cairo. Hadad, who was said to have contracted the disease from domestic fowl, was admitted to hospital on Sunday with breathing difficulties and high fever and later tested positive on the H5N1 strain of bird flu, the ministry said.

http://www.jpost.com/servlet/Satelli...icle%2FPrinter
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Old December 31st, 2007, 03:40 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

Another Egyptian woman dies of bird flu disease, ministry confirms
Health 12/31/2007 11:23:00 PM
CAIRO, Dec 31 (KUNA) -- The Egyptian health ministry announced on Monday another death case of bird flu disease, the 44th since the outbreak of the epidemic in Egypt early 2006.
In a statement, the ministry said a 50-years-old woman of Dumiyadh governorate, north of Cairo, died today as result of infection with the H5N1 virus.
The woman was transfered to the hospital after contacting the sich birds.
Earlier today, the ministry announced the death of a 36-years-old woman as result of the bird flu disease.
Egypt detected the first H5N1 virus in dead poultry in February 2006, and the first human case in March of the same year. (end) rg.bz.
KUNA 312323 Dec 07NNNN

http://www.kuna.net.kw/NewsAgenciesP...92&Language=en
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Old December 31st, 2007, 04:12 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

28 December 2007
The Ministry of Health and Population, Egypt has announced two new cases of human infection of H5N1 avian influenza. The first case is a 50 year old female from Domiatt Governorate. She was hospitalized on 24 December and is in critical condition.
The second case is a 22 year old female chicken seller from Menofia Governorate. She was hospitalized on 26 December and is presently recovering in intensive care.
Both women had contact with sick and dead poultry prior to illness onset.
Of the 41 cases confirmed to date in Egypt, 16 have been fatal.

http://www.who.int/csr/don/2007_12_28a/en/index.html
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Old December 31st, 2007, 04:26 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

Commentary at

http://www.recombinomics.com/News/12...Egypt_CFR.html
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Old December 31st, 2007, 05:10 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

http://www.eecho.ie/news/story/?trs=mheycwojgbkf

Egypt reports further Bird Flu death

31/12/2007 - 9:31:39 PM

Egyptian health officials today reported the deaths of two women from bird flu, bringing to 19 the number of fatalities since the lethal H5N1 strain first appeared in the country 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.

The Health Ministry first reported today the death of Fardous Mahammed Hadad, 36, from Menoufia, 60km north of Cairo.

Ms Hadad, who was said to have contracted the disease from domestic fowl, was admitted to hospital yesterday with breathing difficulties and high fever and later tested positive for the H5N1 strain of bird flu, the ministry said.

Later, health officials said another women, Hanim Ibrahim Attwa, 44, also died today from bird flu at Al-Abbasiya Hospital in Cairo. Ms Attaw was from the Nile delta province of Dimayt, some 200 km north of the Egyptian capital.

The two women who died of the disease last week were identified as Fatima Fathi Mohammed, from the Nile Delta province of Daqahliya, and Ola Youness Mohammed, from the Beni Suef town south of Cairo.

The World Health Organisation said on Friday that two other women in Egypt tested positive for the H5N1 strain. The UN health agency said a 50-year-old woman was admitted to hospital with the disease on December 24 and was in a critical condition. A 22-year-old female chicken seller infected with the same strain was taken to hospital two days later and is recovering in intensive care, it said.

The cases, which were reported by Egypt’s Ministry of Health, bring the total number of H5N1 infections in the country to 43, including the 19 fatalities.

Most of the deaths have been among women or girls whose families raise poultry in backyards and who had daily contact with chickens or turkeys.

Egypt is one of the countries most affected by the H5N1 strain outside Asia, where the bird flu outbreak began. The country lies on a main route for migratory birds, which are believed to have brought the disease.

The H5N1 strain has hit 45 countries and killed nearly 200 people worldwide since 2003. It has resulted in the culling of millions of birds. The virus has infected more than 340 people and killed at least 212 since 2003, mostly in Asia.
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Old December 31st, 2007, 05:12 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

Updated map

http://maps.google.com/maps/ms?ie=UT...1&t=h&z=6&om=1


20/12/2007 Confirmed case Attorh Hanim Ibrahim 50F admitted to Damietta hospital on Monday, Dec 24 with high fever, breathing problems and pneumonia
- husband reports she began showing symptoms on Dec 24
- transferred to Cairo's Abbasiyah hospital
died December 31
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  #23  
Old December 31st, 2007, 05:39 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

I think they've mixed up the name and the age here (too much Guinness on New Year's Eve, prolly ):
Quote:
Originally Posted by niman
Later, health officials said another women, Hanim Ibrahim Attwa, 44, also died today from bird flu at Al-Abbasiya Hospital in Cairo. Ms Attaw was from the Nile delta province of Dimayt, some 200 km north of the Egyptian capital.

The two women who died of the disease last week were identified as Fatima Fathi Mohammed, from the Nile Delta province of Daqahliya, and Ola Youness Mohammed, from the Beni Suef town south of Cairo.

The World Health Organisation said on Friday that two other women in Egypt tested positive for the H5N1 strain. The UN health agency said a 50-year-old woman was admitted to hospital with the disease on December 24 and was in a critical condition. A 22-year-old female chicken seller infected with the same strain was taken to hospital two days later and is recovering in intensive care, it said.
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Old December 31st, 2007, 05:43 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

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Commentary

Fourth Fatal H5N1 Case in Egypt

Recombinomics Commentary 18:50
December 31, 2007

A woman died of the H5N1 strain of bird flu in northern Egypt on Monday, the country's fourth fatality from the virus in less than a week, the World Health Organisation said.

The above comments add support for a virulent H5N1 circulating in Egypt at this time. It is not clear if the fourth death is one of the two cases (22F, 50F) who were confirmed last week, but remained hospitalized, or is a new confirmed fatal case.

The alarming spike in the number of cases and fatalities (see satellite map) highlights the need for the release of H5N1 sequences from the recent avian and human cases.


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Old December 31st, 2007, 05:45 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

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Commentary

High H5N1 Case Fatality Rate in Egypt

Recombinomics Commentary 20:20
December 31, 2007

the ministry said a 50-years-old woman of Dumiyadh governorate, north of Cairo, died today as result of infection with the H5N1 virus

The above description of the fourth H5N1 fatality appears to match the third confirmed case (50F), who was admitted last week in critical condition. If so, then four of the first five H5N1 cases in Egypt this season have died. There was also a fatal suspect case who died over the weekend (see satellite map)..

This high death rate is similar to the rate at the beginning of last season, when the first seven confirmed cases died. However, those seven cases died between the end on November, 2006 and mid-February, 2007, while the four recently confirmed fatalities were in the past week. These fatality rates are markedly higher than the end of last season, when only one of seventeen cases died.

The return of a high case fatality rate may be linked to genetic changes in the H5N1. Last season all cases infected H5N1 with M230I were fatal and M230I was in most of the early cases last year.

M230I and with V223I were also found in birds in Gharbiya and Beni Suef last year, so these polymorphisms may be in circulation. The two receptor binding domain changes were among the newly acquired polymorphisms that were appended onto the Egyptian H5N1 background, which was also found in Israel, Gaza, and Djibouti.

However, the Uva Lake strain of H5N1 is also circulating widely in Europe and these sequences likely migrated into Egypt recently. Thus far the only neighbor reporting recent H5N1 infections has been Saudi Arabia, although all confirmed cases have been in poultry. Egypt has also had frequent poultry outbreaks, raising questions about the lack of reporting of H5N1 infections in neighboring countries.

Sequence information on the isolates in Saudi Arabia and Egypt would be useful.


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Old December 31st, 2007, 05:55 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

Commenatry at

http://www.recombinomics.com/News/12...nsmission.html
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Old December 31st, 2007, 06:00 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

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Originally Posted by niman View Post
Commentary

Recombining H5N1 High CFR
and Transmission in Egypt

Recombinomics Commentary 22:44
December 31, 2007

Later, health officials said another women, Hanim Ibrahim Attwa, 44, also died today from bird flu at Al-Abbasiya Hospital in Cairo. Ms Attaw was from the Nile delta province of Dimayt, some 200 km north of the Egyptian capital.

The above comments confirm that the fourth H5N1 fatality was one of the patients (listed as 50F in WHO update) who was H5N1 confirmed last week. Thus, four of the five cases confirmed in the past week have died (see satellite map).

This high case fatality rate (CFR) is similar to the rate twelve months ago, at the beginning of last season. However, the frequency of reported infections is much higher, and comparable to the rate in the spring last season, when mild H5N1 cases were reported. Only one of seventeen cases from the spring until the end of last season died. The cases were most frequently reported in March and early April, when no fatalities were reported.

Thus, the current outbreak has combined the high case fatality rate from the beginning of last season, when reported cases were infrequent, with the low case fatality rate in the spring when the reported cases were frequent.

One of the concerns of the frequent mild cases was the creation of conditions leading to recombination which would create a more efficiently transmitted H5N1 with an H5N1 with a high case fatality rate.

Such recombination in Egypt would be likely because of the high concentration of H5N1 (see the mapping of the 922 OIE reported cases here here here here here) which lead to the increased complexity of H5N1 last season.

The release of the sequences from the current avian and human cases remains critical.


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Old December 31st, 2007, 06:19 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

On December 17th, Cairo's night temperatures took a 10 degree plunge - to 43F. Lows have mostly been in the 40s since then - a good temperature for incubating influenza.

Lows in this range can be expected through mid-February.

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Old December 31st, 2007, 07:16 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

Google-translated from Arabic:

The death of Egyptian companies Avian
GMT 21:55:13 2007 Monday, December 31

CAIRO (Reuters) - Egyptian Avian died on Monday, bringing the number of deaths from the disease in the most populous Arab states to four in less than a week.

The four cases involving women believed to be a result of dealing with sick poultry or Navgah upbringing than what is in courtyards of houses.

The Egyptian Ministry of Health said in a statement that Ferdous Mohamed Haddad, one of the Nile Delta province of Menoufiya transferred to the hospital on Saturday and died in the early morning hours of Monday.

The statement added that they were "suffering from very high temperature and breathing difficulties and the lack of pneumonia after exposure to the safety of birds suspected avian influenza disease."

The statement said "has been placed on a breathing industrial [respirator] and died at dawn today."

Later John Jabbour said WHO official in Egypt said another woman unnamed died as a result of blood viral infection (Watch 5 to 1) in the north of Egypt.

The Ministry of Health said the deceased second alleges ma'am Atwa Ibrahim (50 years old) from Damietta Governorate has died "as a result of being infected with avian influenza disease has been transferred to a hospital Abbasiyah Wednesday 26-12-2007 remained focused on the care respiratory industrial evening until she died today 31-12-2007."

These are the two eighteenth and nineteenth death of bird flu disease in Egypt since the appearance of the virus H5N1 in the country early in 2006.

This is the third winter in Egypt, which is mortality after Kamoun virus during the summer much temperature and a low risk of transmission significantly.

The ministry said on Sunday that a woman of the twenty-fifth died of old infected Avian called Fatima Mohamed Fathi in hospital in the Nile Delta city of Mansoura.

And another woman died in the fifth century old on Wednesday of last week, which loudly Avian Younis in the province of Beni Suef south of Cairo.

Jabbour said that the high mortality rates in recent cases may be the result of a delay in diagnosis of cases after denying patients and their families exposure to infected birds.

The survival of patients more likely to survive if real estate Tammivlo started treatment immediately after onset of symptoms to them.

The government organized a program to immunize birds but difficult to apply compulsory immunization.

Depends about five million house in Egypt for birds as a major source of food and income. The government says that this possibility is difficult to uproot the disease from the country.

And officials say the World Health Organization to avian influenza virus is now endemic in Egypt.

The mortality rate of disease in the world now more than 210 since 2003 with the receipt of incidence in several African and Asian countries as well as Turkey and Azerbaijan.

Health experts fear that transformed the virus into a form spread rapidly from one person to another on a global epidemic that could kill millions of people.

http://www.elaph.com/ElaphWeb/Templa...RDFLU-AH3.html
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Old December 31st, 2007, 07:39 PM
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Default Re: Woman dies of bird flu in Egypt, fourth in week-WHO

Two Egyptian women die of bird flu virus
By Cynthia Johnston 27 minutes ago


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.
(Writing by Cynthia Johnston; Editing by Stephen Weeks)

http://news.yahoo.com/s/nm/20080101/...6q6d3vPSIiANEA
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