Egypt - Human Confirmed/Suspected Bird Flu Cases, Feb 8, 2009 - April 9, 2009

[sharon sanders]

44663 ‏السنة 133-العدد Year 133 - Issue 2009 2009 مارس Mar 19 19 ‏22 من ربيع الاول 1430 هـ 22 of the spring 1430 the first e الخميس Thursday

إصابة جديدة بإنفلونزا الطيور بمحافظة أسيوط New bird flu Assiut Governorate أعلن الدكتور عبدالرحمن شاهين المتحدث الرسمي لوزارة الصحة مساء أمس ظهور الإصابة البشرية رقم‏59‏ بمرض إنفلونزا الطيور لسيدة تدعي زينب مصطفي عبدالرسول‏38‏ سنة من قرية المعصرة مركز الفتح بمحافظة أسيوط‏,‏ وقال شاهين إن بداية ظهور الأعراض المرضية عليها كانت يوم السبت الماضي‏,‏ دخلت علي أثرها مستشفي حميات أسيوط في اليوم نفسه‏,‏ وهي تعاني ارتفاعا في درجة الحرارة وسعالا عقب تعرضها لطيور نافقة يشتبه في إصابتها بمرض إنفلونزا الطيور‏.‏ Dr. Abdel Rahman Shahin, official spokesman for the Ministry of Health yesterday the emergence of human infection No. 59 of bird flu, a woman claims Zeinab Abdel Rasul Mustafa, aged 38, from the village of Al Fatah Almasrp Center Assiut Governorate, Sahin said that the onset of symptoms, they were on Saturday the past, entered admitted to hospital in Assiut, the same day, which is experiencing a rise in temperature and coughing after exposure to dead birds suspected of being infected with bird flu. http://www.ahram.org.eg/Index.asp?Cu...0.htm&DID=9891

[HenryN]

Commentary

http://www.recombinomics.com/News/03...t_Mild_09.html

[AlaskaDenise]

Originally Posted by niman

Commentary

http://www.recombinomics.com/News/03...t_Mild_09.html

Commentary

Mild H5N1 Cases in Egypt Raise Concerns

Recombinomics Commentary 14:30
March 19, 2009

Woman, age 38, began experiencing fever and headache March 14. She was admitted to Assiut Fever Hospital and given Tamiflu on March 14. Infection with avian influenza was confirmed March 18. The woman reported contact with dead and sick poultry. She was reported clinically free and in a good general condition on March 18.

Girl, age 1½, began experiencing symptoms March 6. She was admitted to Menouf Fever Hospital upon showing symptoms of high fever and cough, and was given Tamiflu. Infection with avian influenza was confirmed March 10. The child was reported in a good general condition on March 10.

The above comments describe the two most recent confirmed cases in Egypt (see updated map). As seen in the description of the most recent case, the disease course is short and the patient was only symptomatic for four days, which is less than most season flu courses. Moreover, all eight confirmed cases this year have recovered. There is no indication that the two patients above developed pneumonia and only one of the eight cases this year was described as being in critical condition. The last fatal confirmed case in Egypt died in December.

The mild H5N1 cases this year are similar to the Egyptian cases in the spring of 2007, when 16/17 cases survived. Most of those cases were in children from upper Egypt. However, this year the cases are spread over a wide area and are likely infected with the vaccine resistant strain first described in late 2007.

Although NAMRU-3 has not released any sequences from this season, two of the human isolates from this year, A/Egypt/0001-NARMRU3/2009 and A/Egypt/0585-NARMRU3/2009, appear to be somewhat related to the vaccine-resistant strain, but may be recombinants, with additional genetic information from earlier Egyptian isolates. Release of sequences from these cases would be useful.

However, the recent mild cases raise concerns that the level of H5N1 cases in Egypt is markedly higher than reported. Many cases who do not develop pneumonia and have mild cases similar to the most recent case likely do not seek medical attention, while others may be treated for seasonal flu and recover untested for H5N1. Moreover, all seven confirmed cases in Egypt this year, prior to the most recent case were 1 ½ to 2 ½ years old. The confirmation of this number of toddlers, also suggests that there are more cases in older children and adults.

These mild cases in Egypt also raise concerns that the level of H5N1 in countries which report high case fatality rates, like Indonesia, Vietnam, and China also have a high number of mild cases that are untested or test negative, especially on samples collected after the start of Tamiflu treatment.

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[Sally Furniss]

3 women in detention on suspicion of Monoufia positive b «avian flu» .. And treatment of «the situation 59» in Assiut

3-20-2009

Infected with bird flu in hospital in Assiut

Detained hospitals and fevers Shebin Mnov, Saturday, 3 women on suspicion of bird flu positive.

Dr. Hisham Al-Atta, Deputy Minister of Health Menoufia, the situations of women Madiha Mohamed Badawi «54-year housewife» Alpajur City resident, and Subhiyah Muawwad Badawi «55 housewife year», the village resident come Mnov Center, six sisters «50 years housewife », based on the Bazbp Alhraivp Alhamul Mnov Center, was being held in hospital after they reported symptoms, high temperature, sore throat, and was taking blood samples from infected and sent to labs central Ministry of Health, to ascertain the extent of breast disease.

In the same context, "said Dr Ahmed Abdel-Moneim, Under-Secretary, Ministry of Health and Population in Assiut, the No. 59 of human infection from bird flu, which was discovered, the day before yesterday, is the second injury in the county, and is currently the subject of intensive treatment at a hospital in Assiut, fevers, and they leave the hospital, Once the treatment and give them a dose of assessments for such injuries.

He added that the infected woman called Zainab Mustafa Abdel Rahman «37 years» and had been transferred to the hospital for 4 days, samples were taken for examination, and sent to labs central Ministry of Health, which confirmed the validity of the disease by contact with infected birds, breeding, the dose was given special treatment, During the early hours of the suspected bird flu symptoms, and a thorough medical examination of members of her family and neighbors, have been placed under quarantine area.

Said Zainab Al «Egyptian today» It is a housewife from a poor family Almasrp status of the village of Al Fatah, which is paid to education and contact with birds, referring to last Saturday it was surprised by the death of all the «chicken», which raised the roof of the shanty house, and disposed of off-site from home, and then I felt the heat stroke.

http://www.almasry-alyoum.com/articl...ticleID=203594


احتجاز ٣ سيدات فى المنوفية للاشتباه فى إصابتهن بـ«أنفلونزا الطيور».. وعلاج «الحالة ٥٩» فى أسيوط

كتب ممدوح ثابت وسحر الحمدانى وهند إبراهيم ٢٠/ ٣/ ٢٠٠٩

المصابة بأنفلوانزا الطيور فى أسيوط فى المستشفى احتجزت مستشفيات حميات شبين الكوم ومنوف، أمس الأول، ٣ سيدات للاشتباه فى إصابتهن بأنفلونزا الطيور. قال الدكتور هشام عطا، وكيل وزارة الصحة بالمنوفية، إن الحالات للسيدات مديحة محمد السيد بدوى «٥٤ سنة ـ ربة منزل» مقيمة بمدينة الباجور، وصبحية معوض بدوى «٥٥ سنة ـ ربة منزل»، مقيمة بقرية تتا مركز منوف، وست أخواتها «٥٠ سنة ـ ربة منزل»، مقيمة بعزبة الشرايفة ناحية الحامول مركز منوف، وتم حجزهن بالمستشفيات إثر ظهور أعراض المرض عليهن، من ارتفاع درجة الحرارة واحتقان الحلق، وتم أخذ عينات من دم المصابات وأرسلت للمعامل المركزية بوزارة الصحة، للتأكد من مدى إصابتهن بالمرض. فى السياق نفسه، قال الدكتور أحمد عبدالمنعم، وكيل وزارة الصحة والسكان بأسيوط، إن الإصابة البشرية رقم ٥٩ بمرض أنفلونزا الطيور، التى تم اكتشافها، أمس الأول، هى الإصابة الثانية فى المحافظة، وتخضع حالياً لعلاج مكثف فى مستشفى حميات أسيوط، وأنها ستغادر المستشفى، بمجرد الانتهاء من علاجها وإعطائها الجرعات المقررة لمثل هذه الإصابات. وأضاف أن المصابة سيدة تدعى زينب مصطفى عبدالرحمن «٣٧ سنة» وكان قد تم تحويلها للمستشفى منذ ٤ أيام، وتم أخذ عينات منها لفحصها، وإرسالها للمعامل المركزية بوزارة الصحة، والتى أكدت صحة إصابتها بالمرض بسبب مخالطتها للطيور وتربيتها لها، وتم إعطاؤها جرعة علاج خاص، خلال الساعات الأولى من الاشتباه بإصابتها بالأعراض، وإجراء فحص طبى شامل لأفراد أسرتها والجيران، وتم وضع المنطقة تحت الحجر الصحى. وقالت زينب لـ«المصرى اليوم» إنها ربة منزل من أسرة فقيرة بقرية المعصرة بمركز الفتح، وهو ما يدفعها لتربية ومخالطة الطيور، مشيرة إلى أنها فوجئت السبت الماضى بوفاة جميع «الفراخ» التى تربيها فى عشة فوق سطح منزلها، وقد تخلصت منها فى مكان بعيد عن المنزل، وبعدها شعرت بسخونة شديدة.

[Laidback Al]

For the confirmed case in Post #91

Zeinab Abdel Rasul Mustafa, aged 38, from the village of Al Fatah Almasrp Center Assiut Governorate

قريه المعصره may refer to Al Masarah located at 27.205843, 31.222591

[ironorehopper]

[WARNING. Google RAW Machine Translation from Arabic to English. Please do refer to original article at: http://aawsat.com/details.asp?sectio...11815&feature= . Arabic portion is also available below the translated texts. EDITED.]

National campaign of vaccination of the bird flu officials worry Egyptian governorates

CAIRO: Mohamed Abdel-Raouf

Avian influenza has raised fears and concerns of officials nationwide and Egyptian cities, which called for the Commission of the Egyptian government claims the launch of a national campaign of vaccination against the disease, which has since appeared in Egypt prior to 3 years and as of yesterday, 59 people, of whom 33 were cured and 23 died and 3 are currently under treatment and in accordance with Egyptian official statistics.

And suggested that the High Commission against bird flu in Egypt, at its meeting yesterday under the chairmanship of Major-General Abdel Salam Mahgoub, Minister of Local Development will be the first vaccination campaigns there in July (July), and the second in December (December) of each year, and extends the period of vaccination for each month, which is which will contribute to the eradication of the virus, as was agreed during the meeting to activate the role of governors in the control of the houses, as well as activating the role of the General Coordinator of the Commission.

Participated in the meeting and ministers of health, agriculture and the environment and the governors of Cairo and Giza, and October 6, Qalubia, eastern, Dakahlia, Monoufia, and Fayoum, and the West, and Beni Suef, and representatives of the Ministries of Defense and Interior, and the Presidents of the General Authority for Information and the General Authority for Veterinary Services.

He said the governor had been since the beginning of the fourth national campaign of vaccination, which began the first of November (November) 2008 and so far vaccinated 37 million and 325 thousand birds, were also processed more than 61 million doses of the vaccine, pointing out that the adoption of many of the controls to prevent the transmission of influenza provinces through the establishment of checkpoints at the entrances and exits to the provinces, and the granting of special permits to transport vehicles to provide protection for the citizens, he is currently the law prevents the activation of breeding birds in urban areas to prevent environmental pollution.

He said the governor «is being studied to establish a compensation fund for farmers affected by the disease».
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[ARABIC]

حملة قومية للتحصين من أنفلونزا الطيور تقلق المسؤولين بالمحافظات المصرية
القاهرة: محمد عبد الرءوف
عادت أنفلونزا الطيور لتثير مخاوف وقلق المسؤولين بالمحافظات والمدن المصرية، وهو ما دعا لجنة حكومية مصرية للمطالبة بتدشين حملة قومية للتحصين ضد المرض، الذي أصاب منذ ظهوره في مصر قبل 3 أعوام وحتى أمس 59 شخصا، شفي منهم 33 شخصا وتوفي 23 ويخضع 3 حاليا للعلاج وفقا لإحصائيات مصرية رسمية.

واقترحت اللجنة العليا لمكافحة أنفلونزا الطيور بمصر في اجتماعها أمس برئاسة اللواء عبد السلام المحجوب وزير التنمية المحلية أن تكون هناك حملتا تحصين الأولى في يوليو (تموز)، والثانية في ديسمبر (كانون الأول) من كل عام، وتمتد فترة كل تحصين لمدة شهر، وهو الأمر الذي سيساهم في القضاء على الفيروس، كما تم الاتفاق خلال الاجتماع على تفعيل دور المحافظين في الرقابة على المنازل وكذلك تفعيل دور المنسق العام للجنة.

شارك في الاجتماع وزراء الصحة والزراعة والبيئة ومحافظو القاهرة والجيزة و6 أكتوبر، والقليوبية، والشرقية، والدقهلية، والمنوفية، والفيوم، والغربية، وبني سويف، وممثلون عن وزارتي الدفاع والداخلية، ورئيسي الهيئة العامة للاستعلامات والهيئة العامة للخدمات البيطرية.

وقال المحجوب إنه تم منذ بداية الحملة القومية الرابعة للتحصين والتي بدأت أول نوفمبر (تشرين الثاني) 2008 وحتى الآن تحصين 37 مليونا و325 ألف طائر، كما تم تجهيز أكثر من 61 مليون جرعة لقاح، مشيرا إلى أنه تم اتخاذ العديد من الضوابط لمنع انتقال الطيور بين المحافظات عن طريق إقامة نقاط تفتيش في مداخل ومخارج المحافظات، ومنح تصاريح خاصة لسيارات النقل بهدف توفير الحماية للمواطنين، لافتا إلى أنه يجرى حاليا تفعيل قانون يمنع تربية الطيور في المدن لمنع التلوث البيئي.

وقال المحجوب «تجري دراسة إنشاء صندوق لتعويض أصحاب المزارع المضارين من المرض».
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[ironorehopper]

Egypt. Bird Flu Higher Committee: Bird vaccines with low prices.

Bird Flu Higher Committee: Bird vaccines with low prices

19 /3/2009

Major General Mohammed Abdel Salam Mahgoub, the Minister of Local Development said on 20/3/2009 that coordination between the governorates, Ministry of Information and Egypt's State Information Service (SIS) is maintained through internal information centers to intensify awareness campaigns about bird flu.


He said following the meeting of the Higher Committee to combat bird flu that 37.3 million birds were vaccinated so far.

He said that measures were taken to prevent the transfer of birds between the governorates through the establishment of checkpoints at the entrances and exits of the governorates.

He pointed out that the Ministry of Health is monitoring the disease in 25 governorates to determine the number and proportion of home deaths and rate of immunization.

For his part, Head of SIS ambassador Ismail Khairat said that the number of bird flu cases since the beginning of the year is amounted to 8 injuries, noting that there had been no deaths so far.


He said that the meeting of the Higher Committee discussed a number of problems related to bird flu, pointing out that one of the most important of these problems is the continuing breeding of birds in homes.

He said that the media campaign had a significant impact in increasing awareness between the citizens.

For immunization, he said that 60% of the governorates had been covered free of charge through a team of veterinary services.

He added that there is a need to educate the citizens, especially mothers for the need to separate children from the birds in the house.
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Bird Flu

[sharon sanders]

Assiut - Editor Masrawy - The General Governor of Assiut Nabil Ezabi healing Zainab Mustafa, 38, from the village of Almasrp Center for the opening of infection from bird flu after the success of the treating medical team to control the disease and provide treatment for the infected immediately.

وقال العزبى إنه فور تلقى البلاغ بوجود اشتباه بالإصابة بالمرض تم تشكيل فريق طبى للوقوف على الحالة ومتابعتها وتقييمها أولا بأول وتقديم تقرير تفصيلى عن الحالة كل 12 ساعة، مشيدا بنجاح جهود الفريق الطبى المعالج فى السيطرة على المرض وتقديم العلاج المناسب فى وقت قياسى.

Ezabi said that upon receiving the communication there is suspicion of illness a medical team was formed to ascertain the situation and follow-up and evaluation of aphid and to provide a detailed report on the situation every 12 hours, hailing the success of the efforts of the treating medical team to control the disease and provide appropriate treatment in record time.

وقرر محافظ أسيوط تكريم الفريق الطبى وصرف مكافآت فورية له نظير ما قاموا به من مجهودات أدت إلى شفاء الحالة المصابة.

And decided to honor the governor of Assiut, the medical team and immediate payment of rewards for him as they have done has led efforts to heal the afflicted.

وكانت السيدة قد أصيبت بأنفلونزا الطيور نتيجة مخالطتها للطيور التى تربيها فى منزلها وكان لوعى الأسرة بسرعة التوجه للوحدة الصحية بقرية المعصرة واتخاذ طبيب الوحدة القرار السريع بتحويل الحالة لمستشفى حميات أسيوط للاشتباه فى الحالة دور كبير فى شفائها.

The woman had been hit by bird flu due to contact with birds raised in the home, which was quickly aware of the family to go to the village health unit Almasrp and take a quick decision to transfer the case admitted to a hospital on suspicion of Assiut in the situation big role in healing.

ومن ناحية أخرى، صرح الدكتور أحمد عبدالمنعم وكيل وزارة الصحة بأسيوط بأنه فور وصول الحالة إلى مستشفى حميات أسيوط تم عمل التحاليل بأخذ عينة من السيدة وإجراء الفحوصات اللازمة وعند التأكد من الإصابة تم تقديم العلاج المناسب وإخطار كافة الجهات المعنية لاتخاذ الإجراءات اللازمة نحو تطعيم الطيور الموجودة بمنزل السيدة المصابة والمنازل المجاورة وأخذ عينات من الطيور الموجودة للتأكد من وجود طيور مصابة من عدمه.

On the other hand, said Dr. Ahmed Abdel-Moneim and the Undersecretary of the Ministry of Health in Assiut that upon the arrival of the case admitted to hospital in Assiut, the analysis has been done by taking a sample of Ms. testing when necessary and make sure that infection has been provided appropriate treatment and to notify all parties concerned to take necessary action towards the vaccinated birds in the house Mrs. affected and the adjacent houses and take samples from birds to confirm the presence of infected birds or not.

وأضاف أنه تم تكليف الرائدات الريفيات بتكثيف عمليات التوعية من خلال الزيارات المنزلية للسيدات فى كيفية التعامل مع الطيور، وتم عمل خطة توعية من خلال تنفيذ 12 ندوة عن مرض أنفلونزا الطيور خلال الثلاثة شهور القادمة.

He was assigned to rural leaders to intensify the awareness through home visits for women in how to deal with the flu, was aware of the work plan through the implementation of 12 a symposium on bird flu during the next three months.

http://www.masrawy.com/News/Egypt/Po...s.aspx?ref=rss

[HenryN]

Commentary

http://www.recombinomics.com/News/03...ypt_H274Y.html

[Dutchy]

Egyptian woman contracts bird flu - WHO

23 Mar 2009 15:45:43 GMT

Source: Reuters

GENEVA, March 23 (Reuters) - A 38-year-old Egyptian woman has contracted the H5N1 strain of bird flu and is in a stable condition, the World Health Organisation (WHO) said on Monday.

The woman, from Elfath in central Egypt, developed a fever and headache on March 14 and was admitted to hospital where she is being given the antiviral drug Tamivir, it said.

The Geneva-based U.N. agency said she fell ill after coming into contact with dead and sick poultry. She is the 59th case of bird flu in the Arab country.
Since 2003, the H5N1 avian influenza virus has infected 412 people and killed 256 of them, WHO figures show.

While H5N1 rarely infects people, scientists fear the virus could mutate into a form that spreads easily among people, unleashing a pandemic that could kill millions.

Egypt has had the third largest number of cases, at 59, behind Indonesia and Vietnam. It has the fourth largest number of deaths, at 23, behind Indonesia, Vietnam and China.

(For the latest WHO bird flu figures go to: http://www.who.int/csr/disease/avian.../en/index.html )

(Reporting by Jonathan Lynn; Editing by Katie Nguyen)
http://www.alertnet.org/thenews/newsdesk/LN537423.htm

[ironorehopper]

WHO | Avian influenza - situation in Egypt - update 8

Avian influenza - situation in Egypt - update 8

23 March 2009 --

The Ministry of Health and Population, Egypt has reported a new confirmed human case of Avian Influenza.


The case is a 38-year old female from Elfath District, Assiut Governorate.

Her symptoms started with a fever and headache on March 14.

She was admitted to Assiut Fever Hospital on March 14 where she was started on oseltamivir the same day (March 14) and remains in a stable condition.

Infection with H5N1 avian influenza was confirmed on 18 March by the Egyptian Central Public Health Laboratory.

Investigations into the source of her infection indicate a history of close contact with dead and sick poultry prior to becoming ill.

Of the 59 cases confirmed to date in Egypt, 23 have been fatal.
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WHO | Avian influenza - situation in Egypt - update 8

[Sally Furniss]

38-year-old was hit by the bird flu virus H5 that 1 and a stable condition.

The organization said that the opening of the Center for the affected province of Asyut, about 400 kilometers south of Cairo, they complained of fever, headache, before entering the hospital on March 14 on the property where the current anti-virus Tamifir.

She added that Egypt became ill after contact with dead birds and infected Almasrp in the village in which they live and it was the ninth session, which become infected with bird flu in the country.

Since 2003 virus bird flu, 412 people in various parts of the world, killing 256, according to WHO data.

The HIV virus infects 5 to 1, but people do not move them. Scientists fear the virus could mutate to spread between humans, causing a pandemic that could kill millions.

He died in Egypt, 23 cases of cases of this disease and thus, ranked fourth in terms of the number of deaths from the disease after Indonesia, Vietnam and China.

The medical sources in the governorate of Assiut on Thursday called the infected Zainab Mustafa Abdul Rasul, and the central laboratory in Cairo, the Ministry of Health was unable to analyze the sample, including the U.S., as well as plants in Egypt.

A source said that a sample was sent to Britain for analysis.

A source in the governorate of Assiut said Abdul Rasul left the hospital on Monday and the governor Nabil Ezabi received in his office to check on the recovery of a similar nature.

http://www.masrawy.com/News/MidEast/...5.aspx?ref=rss

العالمية يوم الاثنين إن مصرية تبلغ من العمر 38 عاما أصيبت بفيروس انفلونزا الطيور اتش5ان1 وان حالتها مستقرة.

وقالت المنظمة إن المصابة من مركز الفتح بمحافظة أسيوط التي تبعد حوالي 400 كيلومتر الى الجنوب من القاهرة وانها اشتكت من حمى وصداع قبل دخولها المستشفى يوم 14 مارس اذار الحالي حيث تناولت العقار المضاد للفيروس تاميفير.

واضافت أن المصرية مرضت بعد مخالطة طيور نافقة وأخرى مصابة في قرية المعصرة التي تعيش فيها وانها الحالة التاسعة والخمسون التي تصاب بمرض انفلونزا الطيور في البلاد.

ومنذ عام 2003 أصاب فيروس مرض انفلونزا الطيور 412 شخصا في مختلف أنحاء العالم توفي منهم 256 بحسب بيانات منظمة الصحة العالمية.

ويصيب الفيروس اتش5ان1 البشر لكنه لا ينتقل بينهم. ويخشى علماء أن يتحور الفيروس لينتقل بين البشر مما قد يتسبب في وباء يمكن أن يقتل الملايين.

وتوفي في مصر 23 حالة من الاصابة بهذا المرض وبذلك تحتل المركز الرابع من حيث عدد الوفيات بالمرض بعد اندونيسيا وفيتنام والصين.

وقالت مصادر طبية في محافظة أسيوط يوم الخميس ان المصابة تدعى زينب مصطفى عبد الرسول وان المعامل المركزية بوزارة الصحة في القاهرة تعذر عليها تحليل العينة المأخوذة منها وكذلك معامل أمريكية في مصر.

وقال مصدر ان عينة أرسلت الى بريطانيا لتحليلها.

وقال مصدر في محافظة أسيوط ان عبد الرسول غادرت المستشفى يوم الاثنين وان المحافظ نبيل العزبي استقبلها في مكتبه للاطمئنان على تماثلها للشفاء.
هذا المحتوى من

[AlaskaDenise]

Originally Posted by niman

Commentary

http://www.recombinomics.com/News/03...ypt_H274Y.html

Commentary

H5N1 Cases in Egypt Raise Tamiflu Resistance Concerns

Recombinomics Commentary 16:51
March 23, 2009

Woman, age 38, began experiencing fever and headache March 14. She was admitted to Assiut Fever Hospital and given Tamiflu on March 14. Infection with avian influenza was confirmed March 18. The woman reported contact with dead and sick poultry. She was reported clinically free and in a good general condition on March 18.

The above detail on the most recent confirmed case in Egypt raises concerns that a mild H5N1 is circulating in Egypt at levels markedly higher than the reported cases. H5N1 testing is usually limited to symptomatic cases with a recent history of exposure to dead or dying poultry. Thus, if the above case had denied contact, hospitalization and testing would be unlikely and the symptoms could be mistaken for seasonal flu. Others may not seek medical attention and assume that the H5N1 infection is a mild infection not requiring medical attention.

None of the eight confirmed cases in 2009 in Egypt have died. Only one was in critical condition. The other seven had a mild course. Milder H5N1 likely leads to more exposure of others, because the patient is not immediately hospitalized and isolated. The increased exposure would not only the increase the likelihood of infecting others, but would also increase the likelihood of a second infection with H1N1 seasonal flu, which is almost exclusively Tamiflu resistant.

Tamiflu treatment of a patient co-infected with H5N1 and H1N1 carrying H274Y would apply pressure toward the transfer of H274Y from the H1 on H1N1 to the H1 on H5N1, either via reassortment or recombination. In seasonal flu, both transfers have been reported, raising concerns of similar exchanges between H1N1 and H5N1.

H274Y has been reported to have been independently introduced onto three H1N1 sub-clades that have been recently circulating. Moreover, the level of H274Y in the most widely circulating sub-clade (clade 2B - Brisbane/59) has increased to levels approaching 100%.

Thus, the high levels of H274Y in H1N1, coupled with increased circulation of H5N1 in human populations in Egypt raises serious concerns about the emergence of Tamiflu resistant H5N1 that is more efficiently transmitted in human populations.

.

[ironorehopper]

[WARNING: Google Raw Machine Translation from Egyptian to English. Original text at http://www.spa.gov.sa/popdetails.php?id=648210&catid=3. EDITED.]

Cairo, 29 Jun e 1430, corresponding to March 26, 2009 WAS

The Ministry of Health and Population, Egypt's emergence from No. 60 human infection of bird flu, a girl from the village of Dandara in Qena, Upper Egypt.

Said the official spokesman for the Ministry of Health in Egypt Abdel-Rahman Shahin said in a statement today that the onset of symptoms on the girl child Israa Said Shafi / two and a half / was entered on Monday admitted to hospital suffering QENA rise in temperature and a cough after exposure to dead birds suspected of being infected with bird flu ..

He pointed out that he was given the drug on the disease and in stable condition now.
/ / End / / TM 2030
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[ARABIC]

القاهرة 29 ربيع الأول 1430هـ الموافق 26 مارس 2009م واس
أعلنت وزارة الصحة والسكان المصرية اليوم عن ظهور الإصابة البشرية رقم 60 بمرض أنفلونزا الطيور لطفلة من قرية دندرة بمحافظة قنا بصعيد مصر.
قال المتحدث الرسمي لوزارة الصحة المصرية عبد الرحمن شاهين في تصريح له اليوم إن بداية ظهور الأعراض المرضية على الطفلة إسراء سعيد عبدالشافى / سنتين ونصف / كانت يوم الاثنين الماضي دخلت على أثرها مستشفى حميات قنا وهى تعاني ارتفاعا في درجة الحرارة وسعال عقب تعرضها لطيور نافقة يشتبه في إصابتها بمرض أنفلونزا الطيور.. مشيرا إلى انه تم إعطائها العقار الخاص بالمرض وان حالتها الصحية مستقرة الآن.
// انتهى // 2030 ت م
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[Dutchy]

Google translated

Minya detained two in hospital for suspected bird flu

Date: Thursday, March 26, 2009

Alepeshaer - Mahmoud soldier:

Dr. Ayman Ragab, Undersecretary of the Ministry of Health and Chairman of the Chamber of follow-up of bird flu on the reservation, it was decided two hospitals admitted Menya, the emergence of symptoms of bird flu.

Where he was detained by the Jiryes Ayad Jiryes "45 years" the village of Kom teacher assesses the status of the green bell, and the child, Abdul Rahman Mohamed, "9 years" from the village of Maghagha Agafadp and they seem to bird flu symptoms of very high and constant temperature, and some marks on the tongue.

When the view of the lack of response by the hospital for treatment of influenza disease would be arrested by regular away from the rest of the hospital patient's blood sample was withdrawn from each of them and send them to factor analysis of central Cairo.

http://elbashayeronline.com/?page=viewn&nid=44265

[HenryN]

Egypt declares 60th Bird Flu case

Health 3/26/2009 9:28:00 PM

CAIRO, March 26 (KUNA) -- An Egyptian girl has been infected with the Bird Flu virus, bringing the number of these cases in the country to 60. A spokesman of the Health Ministry said on Thursday Israa Abdel Shafi, aged two years and six months, was hospitalized in the province of Qina in southern Egypt. The girl suffered from high fever and coughing after she mingled with dead birds suspected of bearing the virus. Her condition was described as stable after she given the required medications. Egypt declared flare-up of the disease in February 2006. Up to 22 people had died as a result of the disease. (end) bna.rk KUNA 262128 Mar 09NNNN http://www.kuna.net.kw/NewsAgenciesP...27&Language=en

[HenryN]

Another confirmed case, another toddler between the ages of 1 1/2 and 2 1/2, and another quick recovery.

[Laidback Al]

. . . and another case that was not reported in the media until the Health Ministry confirmation.

[HenryN]

Originally Posted by Laidback Al

. . . and another case that was not reported in the media until the Health Ministry confirmation.

Yes, the cases in Egypt are quite consitent and the CFR tends to go in streaks (which has produced a CFR of ZERO in 2009).

[Sally Furniss]

CAIRO - Editor Masrawy - Dr. Abdel Rahman Shahin, official spokesman of the Ministry of Health No. 60 of human infection from bird flu was confirmed on Thursday night to a girl named Israa Said Shafi at the age of two years and six months of Nejj Abushok Center Dandara governorate of Qena.

Shaheen added that the onset of symptoms, they were on Monday, entered the hospital admitted to Qena on Tuesday, with high fever and cough after exposure to dead birds suspected of being infected with bird flu.

He said that as soon as the suspicion of being infected with the disease were given the drug Tamiflu, a stable and satisfactory condition.

The Health Department warned of complacency in the implementation of the plan to combat bird flu.

Said Dr. Hatem el-Gabali, Minister of Health and Population that while the international organizations in Egypt in all its experience to face the bird flu under control, this does not mean we have eliminated the disease, which is still in its strength and fear it could mutate and spread from human to human and human pandemic occur here, which may take the lives of millions of people and caused economic losses estimated Baltreionat of dollars.

He stressed the need for caution mountain addressing all segments of Egyptian society, particularly those dealing directly with the live birds, and that does not call for the prevention of breeding birds at home it is a source of income for the Egyptian family, especially in rural areas, but follow the instructions call for sound health in dealing with birds.

The mountain has been confirmed that the mortality rate among infected humans in Egypt are still lower than the ratios in the world amounted to about 41% against 60% of the global rate.

As the Ministry of Health in Egypt since its outbreak in Egypt to declare any casualties on confirmation of positive results when tested by the Ministry's central labs .. It also emphasizes that it is dealing with the issue of avian influenza in all transparent and explicitly does not hide any information.

http://www.masrawy.com/News/Egypt/Po...e.aspx?ref=rss

[HenryN]

Egyptian girl contracts bird flu - WHO
27 Mar 2009 08:33:59 GMT
Source: Reuters

CAIRO, March 27 (Reuters) - A 30-month old Egyptian girl has contracted the bird flu virus, bringing the number of avian flu cases in the country to 60, a World Health Organisation spokesman said on Friday. The girl, from the southern Egyptian province of Qena, was taken to a hospital after showing symptoms of fever on Monday, the WHO spokesman told Reuters. Egypt is one of the few countries affected by bird flu that does not compensate farmers when poultry is destroyed, though many experts say this is the best way to ensure rapid detection of new outbreaks. Twenty-three Egyptians have died after contracting the virus, with many of the reported cases involving domestic poultry which some 5 million households depend on as a main source of food and income. Since 2003, the H5N1 avian influenza virus has infected at least 410 people in 15 countries and killed 254 of them. It has killed or forced the culling of more than 300 million birds in 61 countries in Asia, the Middle East, Africa and Europe. While H5N1 rarely infects people, experts fear it could mutate into a form that people could easily pass to one another, sparking a pandemic that could kill millions. (Reporting by Will Rasmussen; writing by Alastair Sharp)

http://www.alertnet.org/thenews/newsdesk/LR125059.htm

[HenryN]

Updated map

http://maps.google.com/maps/ms?ie=UT...b927e68d58eab0

[HenryN]

Commentary

http://www.recombinomics.com/News/03...Toddler_9.html

[AlaskaDenise]

Originally Posted by niman

Commentary

http://www.recombinomics.com/News/03...Toddler_9.html

Commentary

Another H5N1 Confirmed Toddler in Egypt

Recombinomics Commentary 13:40
March 27, 2009

bird flu was confirmed on Thursday night to a girl named Israa Said Shafi at the age of two years and six months of Nejj Abushok Center Dandara governorate of Qena.

onset of symptoms, they were on Monday, entered the hospital admitted to Qena on Tuesday, with high fever and cough after exposure to dead birds suspected of being infected with bird flu.

Her condition was described as stable after she given the required medications.

The above comments describe another H5N1 confirmed toddler in Egypt (see updated map) that appears to be mild. Although this is the ninth confirmed case in 2009, none have died. Most appear to be mild, and pneumonia is not indicated. The prior case was symptomatic for four days.

These mild cases are similar to reports in the spring of 2007, when 16/17 cases recovered. However, the case fatality rate last year, and cases in late 2006 / early 2007 was high, suggesting the mild cases were due in part to the sequence of the H5N1. Sequences from this season have not been released, but in 2007 the vast majority of the recovered cases were infected with H5N1 with a Mongolian cleavage site or a 3 BP deletion.

This year, 8 of the 9 cases were between 1 ½ and 2 ½ years of age, raising concern that H5N1 are more widespread and infections of other age groups are not reported because these milder cases are not tested.

Release of sequences from patients and poultry this season would be useful.

.

[AlaskaDenise]

.....suggesting the mild cases were due in part to the sequence of the H5N1. Sequences from this season have not been released, but in 2007 the vast majority of the recovered cases were infected with H5N1 with a Mongolian cleavage site or a 3 BP deletion.

Why is the Mongolian sequence mild?

Taken from June 12, 2007 Recombinomics commentary here......

The confirmation of mild cases raised concerns, because such cases would be easily missed.

This rapid reversion raises concerns that the evolution of the H5N1 linked to mild cases may become more virulent.

...raises concerns that the number of H5N1 cases may be significantly higher than indicated in the confirmed totals.

See also here.


.

[Dutchy]

The first fatal H5N1 Case in 2009

45 days old “Basmallah" Mohamed Rabi’” died yesterday in the Fayoum general hospital because of H5N1, the baby girl could not be rescued especially that she was admitted to the hospital 24 hours before her death.

The poor baby had a very weak immunity system compared to the virus. It could not resist it

Already I wonder how the hell this little baby contacted infect poultry !!! Did her mother carry her around the house or what ??

May God give strength to her parents and family.

Basmallah was No. 61 I believe among the human infection case and No.24 in the death toll in Egypt.

I hope Basmallah would be the last fatal case in Egypt.

There are several suspicion cases across the country announced from this week but without confirmation of their infection and this is why I do not publish any news.

New hot spots are discovered mainly in Delta on a regular basis now.

http://egyptianchronicles.blogspot.com/

[HenryN]

Originally Posted by AlaskaDenise

Why is the Mongolian sequence mild?

Taken from June 12, 2007 Recombinomics commentary here......





See also here.


.

The cleavage site can affect tissue tropism and limit spread. The mild cases in Vietnam in 2005 also had an altered cleavage site,

[HenryN]

Originally Posted by Dutchy

The first fatal H5N1 Case in 2009

45 days old “Basmallah" Mohamed Rabi’” died yesterday in the Fayoum general hospital because of H5N1, the baby girl could not be rescued especially that she was admitted to the hospital 24 hours before her death.

The poor baby had a very weak immunity system compared to the virus. It could not resist it

Already I wonder how the hell this little baby contacted infect poultry !!! Did her mother carry her around the house or what ??

May God give strength to her parents and family.

Basmallah was No. 61 I believe among the human infection case and No.24 in the death toll in Egypt.

I hope Basmallah would be the last fatal case in Egypt.

There are several suspicion cases across the country announced from this week but without confirmation of their infection and this is why I do not publish any news.

New hot spots are discovered mainly in Delta on a regular basis now.

http://egyptianchronicles.blogspot.com/

Like the two cases in Cairo which were not confirmed, there is no link or source confirming the above fatality.

[Dutchy]

Originally Posted by niman

Like the two cases in Cairo which were not confirmed, there is no link or source confirming the above fatality.

Yes, handle with care.

[Dutchy]

Snip from almasry-alyoum.com

In Fayoum, Dr. Hussein Sophie Abutaleb, Under-Secretary, Ministry of Health, the death of the girl child بسملة Mohammed «45 days» Tamiflu drug in a hospital after being transferred from the hospital yesterday evening fevers Fayyoum I, on suspicion of being infected with the disease, explaining that he had been sampled and sent to central laboratories, but they died before the results of the analysis, pointing out that the samples were withdrawn from her family as a precaution.

http://translate.google.com/translat...istory_state0=

credits Helblindi