Egypt - Confirmed H5N1 in Humans April 15, 2009 - May 18, 2009

[Laidback Al]

Originally Posted by Laidback Al

"Lawn" (المرج) one of the ten neighborhoods or districts in the eastern region of Cairo.
Map with hot links at: http://www.cairo.gov.eg/C7/areas/default.aspx

Another post above cites the woman as coming from El-Marg. These reports suggest that woman lived within a couple of miles of the Cairo International Airport.

[HenryN]

Latest case a few miles from 6M

http://maps.google.com/maps/ms?sourc...,0.499878&z=11

[HenryN]

Looks like 6M and 25F also went to same hospital (or same hospital complex) in Cairo. 6M went to Ain Shams University, while 25F went to Demerdash.

[HenryN]

Updated map

http://maps.google.com/maps/ms?sourc...49939&t=h&z=12

[HenryN]

AVIAN INFLUENZA, HUMAN (74): EGYPT, 64TH CASE SUSPECTED
************************************************** *****
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

[This report was scheduled for posting yesterday, 16 Apr
2009. ProMED-mail apologizes for the delay in posting and any
inconvenience this may have caused. - Mod.MPP]

[1]
Date: Wed 15 Apr 2009
Source: Agence France-Presse report [edited]
<http://news.yahoo.com/s/afp/20090415/wl_africa_afp/egypthealthflu>


Egypt woman critically ill with bird flu
----------------------------------------
A 33-year-old woman has contracted bird flu, the 64th recorded case
since the 1st outbreak of the disease in Egypt in 2006, the health
ministry announced on Wednesday [15 Apr 2009]. The woman from the
Kafr el-Sheikh province of northern Egypt is in critical condition
and on an artificial respirator, state-run news agency MENA quoted a
health ministry official as saying. She 1st showed symptoms of flu
more than a week ago after being exposed to dead fowl thought to have
been carrying the disease, the official said.

Egypt has seen an increase in bird flu cases over the past month. The
World Health Organisation (WHO) called last month [March 2009] for an
investigation into why many of the victims have been young children.
A total of 23 people have died of bird flu in Egypt. Most of the
victims have been young girls or women, who are generally in charge
of looking after poultry in rural areas.

Egypt hosted an international conference on bird flu in October
[2008], when Washington pledged an additional 320 million dollars to
the fight against the disease amid fears it may yet escalate into a
global pandemic. The H5N1 strain of the virus that is most dangerous
to humans 1st emerged in Asia in 2003 and has since caused nearly 250
deaths, according to WHO figures. Scientists fear that a mutation of
the bird flu virus resulting in a strain easily transmitted among
humans could create a pandemic, potentially affecting up to one-fifth
of the world's population.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

******
[2]
Date: Wed 15 Apr 2009
Source: Reuters News [edited]
<http://www.reuters.com/article/healthNews/idUSTRE53E6CI20090415>


Egyptian woman contracts bird flu
---------------------------------
A 33-year-old Egyptian woman has contracted the highly pathogenic
bird flu virus, the 4th case this month [April 2009], Egyptian state
news agency MENA said Wednesday [15 Apr 2009]. MENA said the woman
came from the northern province of Kafr el-Sheikh. Her case brings to
64 the number of confirmed cases of the H5N1 avian flu virus in
Egypt, which has been hit harder by bird flu than any other country
outside Asia. Health Ministry spokesman Abdel Rahman Shahine said the
woman had started to show symptoms on 7 Apr 2009 after coming into
contact with dead birds.

While H5N1 rarely infects people, experts say they fear it could
mutate into a form that people could easily pass to one another,
sparking a pandemic that could kill millions. Since 2003 the H5N1
avian influenza virus has infected at least 411 people in 15
countries and killed 254. It has killed or forced the culling of more
than 300 million birds in 61 countries in Asia, the Middle East,
Africa and Europe.

Some 23 Egyptians have died after contracting the virus. Most came
into contact with infected domestic birds in a country where roughly
5 million households depend on domestically raised poultry as a
significant source of food and income. The World Health Organization
has said that it was concerned some Egyptians may carry the bird flu
virus without showing symptoms, which could give it more of a chance
to mutate to a strain that spreads easily among humans.

[Byline: Will Rasmussen]

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[If confirmed this case and the 59th case (a 38-year-old woman in the
governorate of Assiut) will be the only adult cases among the 12
reported in Egypt since the beginning of 2009.

A map of the governorates of Egypt can be accessed at
<http://en.wikipedia.org/wiki/Governorates_of_Egypt>. The governorate
[province] of Kafr el-Sheikh is located at 13 on this map. The
HealthMap/ProMED-mail interactive map of Egypt is available at
<http://healthmap.org/r/008G>. - Mod.CP]

[see also:
Avian influenza, human (73): Egypt, virulence 20090413.1411
Avian influenza, human (72): Egypt, virulence 20090412.1403
Avian influenza, human (71): Egypt, Viet Nam, WHO 20090408.1359
Avian influenza, human (70): Egypt (QL), 63rd case 20090406.1336
Avian influenza, human (69): Egypt (BH) 62nd case 20090404.1299
Avian influenza, human (66): Egypt (BH) 20090402.1271
Avian influenza, human (59): Viet Nam (ST) NOT 20090325.1162
Avian influenza, human (56): Viet Nam (DT) NOT, (ST) susp. 20090321.1128
Avian influenza, human (55): Egypt (AT), Viet Nam (DT) 20090320.1118
2006
----
Avian influenza (208): NS1 virulence determinant 20061106.3183]
....................cp/ejp/mpp

[HenryN]

AVIAN INFLUENZA, HUMAN (75): EGYPT, 64TH CASE CONFIRMED
************************************************** *****
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 17 Apr 2009
Source: World Health Organisation (WHO), EPR, Disease Outnreak News [edited]
<http://www.who.int/csr/don/2009_04_17/en/index.html>


Avian influenza situation in Egypt - WHO Update 11
--------------------------------------------------
The Ministry of Health of Egypt has reported a new confirmed human
case of avian influenza. The patient is a 33-year-old female from
Kellin district, Kfr El Sheikh Governorate. Her symptoms began on 7
Apr 2009 and she was hospitalized at Kfr El Sheikh Fever Hospital on
15 Apr 2009 where she was started on oseltamivir the same day. She is
in a critical condition.

Infection with H5N1 avian influenza was confirmed by the Egyptian
Central Public Health Laboratory on 15 Apr 2009. Investigations into
the source of her infection indicate a history of close contact with
dead and sick poultry prior to becoming ill.

Of the 64 cases confirmed to date in Egypt, 23 have been fatal.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[This the WHO official confirmation of the 64th case of avian H5N1
influenza reported previously as a suspected case in ProMED-mail
posted 16 Apr 2009 as "Avian influenza, human (74): Egypt 64th case
susp. 20090417.1463" (due to technical difficulties, this posting on
the suspected case was not posted until today, 17 Apr 2009 - Mod.MPP)

A map of the governorates of Egypt can be accessed at
<http://en.wikipedia.org/wiki/Governorates_of_Egypt>. The governorate
[province] of Kafr el-Sheikh is located at 13 on this map. - Mod.CP]

[see also:
Avian influenza, human (74): Egypt, 64th case susp. to be archived
Avian influenza, human (73): Egypt, virulence 20090413.1411
Avian influenza, human (72): Egypt, virulence 20090412.1403
Avian influenza, human (71): Egypt, Viet Nam, WHO 20090408.1359
Avian influenza, human (70): Egypt (QL), 63rd case 20090406.1336
Avian influenza, human (69): Egypt (BH) 62nd case 20090404.1299
Avian influenza, human (66): Egypt (BH) 20090402.1271]
...........................cp/ejp/mpp

[HenryN]

Originally Posted by Florida1

Interesting. Usually when additional facts are obtained the news agencies start to update the original report with a notation. i.e. "Update 1"

It actually says "infected birds" instead of sick or dying birds. There are no reported "infected" birds in that area of Cairo.

[HenryN]

Commentary

http://www.recombinomics.com/News/04...rel="nofollow"

[vinny]

perhaps they mean Birds, as its the nickname for women........

[HenryN]

Originally Posted by vinny

perhaps they mean Birds, as its the nickname for women........

6M is male.

[ironorehopper]

Egypt: Press release of the Ministry of Health about bird flu human infection No. 65.

Press release of the Ministry of Health about bird flu human infection No. 65

On Friday 17/4/2009 the bird flu human infection No. 65 was confirmed.


The infection was for Hedeya Salah Ragab, aged 25 years, from Al-Marg area, Cairo governorate.

She showed symptoms of infection on 6/4/2009. She was admitted to Ain Shams University Hospital on 11/4/2009.

She was suffering from high fever and difficulty in breath after being exposed to dead birds suspected of being infected with bird flu.

The patient was pregnant in the 33rd week.

She has been given the antiviral vaccine Tamiflu as soon as she was suspected of being infected with the disease.

She is on the life-support system and her health condition is critical.
-

Bird Flu

[HenryN]

Originally Posted by ironorehopper

Egypt: Press release of the Ministry of Health about bird flu human infection No. 65.

Press release of the Ministry of Health about bird flu human infection No. 65

On Friday 17/4/2009 the bird flu human infection No. 65 was confirmed.


The infection was for Hedeya Salah Ragab, aged 25 years, from Al-Marg area, Cairo governorate.

She showed symptoms of infection on 6/4/2009. She was admitted to Ain Shams University Hospital on 11/4/2009.

She was suffering from high fever and difficulty in breath after being exposed to dead birds suspected of being infected with bird flu.



She has been given the antiviral vaccine Tamiflu as soon as she was suspected of being infected with the disease.

She is on the life-support system and her health condition is critical.
-

Bird Flu

25F is in same hospital as 6M. No coincidences required..

[ironorehopper]

It's noticeable the pregnancy status of the patient, since she's in critical condition; pregnancy seems to be linked to a poor illness outcome.

[mixin]

Originally Posted by niman

25F is in same hospital as 6M. No coincidences required..

Do we have a list of Egyptian hospitals that are equiped to handle bird flu patients?

[Sally Furniss]

Case's husband «64» with the bird flu virus to transfer calls «Abbasiyah» .. And the detention of a mother and her daughter on suspicion of SARS in the Western

Magdi Oboualainin, just dug 4-19-2009

Abutaleb student Ahmed Ismail, the husband of the No. 64 Saadia Ahmed Abdul Latif Hamid «33 years», declared that the Ministry of Health on the positive for bird flu, fevers transported from the hospital, Kafr El-Sheikh admitted to hospital in Abbasiyah, the lack of adequate hospital care, Kafr El-Sheikh - as he put it .

And demanded the intervention of the Minister of Health to achieve their desire for this requirement, to ensure more attention to his wife, and said that there was a dearth of oxygen cylinders in the hospital, because the measuring cylinder 13 only, and is used from 6 to 8 cylinders per day, and added: «the cylinder was over, the day before yesterday , and I had to rent a pickup truck on my account and go to the General Hospital of Kafr el-Sheikh for the replacement of the oxygen cylinder ».

He added that the wife had been improved and reached 46% oxygen and blood, but it dropped again to 35% due to lack of oxygen, to the detriment of their health, expressing concern about the lack of resources in the hospital, and non-operation of a blood gas testing, although so far brought Only four days ago.

And demanded the intervention of the Minister of Health for the lack of specialist care hospital fevers Kafr el-Sheikh, and blood testing device is disabled and was unable to technical operation, and that the patient is threatened with death for lack of hospital care.

In the West, the hospital admitted Tanta detained yesterday on suspicion of two new bird flu virus.

"Dr. Mahmoud Sheriff, Under-Secretary, Ministry of Health, the government, the case of a woman, aged« 23 years »and called Bushra Ahmed Moussa, Mohamed Salma Ngeltha« a year and a half », after the sense of shortness of breath, a flushed face and a very high temperature,

Have been detained in the place for such cases in the hospital, blood samples were taken and their melancholy hours, and sent to labs central Ministry of Health to show how they got sick or not.


http://www.almasry-alyoum.com/articl...ticleID=207724


زوج الحالة رقم «٦٤» المصابة بأنفلونزا الطيور يطالب بنقلها إلى «العباسية».. واحتجاز أم وابنتها للاشتباه فى إصابتهما فى الغربية

كتب مجدى أبوالعينين وعادل ضرة ١٩/ ٤/ ٢٠٠٩

طالب أحمد إسماعيل أبوطالب، زوج الحالة رقم ٦٤ سعدية أحمد عبداللطيف حامد «٣٣ سنة»، التى أعلنت وزارة الصحة عن إصابتها بمرض أنفلونزا الطيور، بنقلها من مستشفى حميات كفر الشيخ إلى مستشفى حميات العباسية، لعدم وجود الرعاية الكافية بمستشفى كفر الشيخ - على حد قوله.

وطالب بتدخل وزير الصحة لتحقيق رغبته فى هذا المطلب، لضمان عناية أكثر بزوجته، وقال إن هناك نقصاً شديداً فى أسطوانات الأكسجين بالمستشفى، لأن قوته ١٣ أسطوانة فقط، ويتم استخدام من ٦ إلى ٨ أسطوانات يومياً، وأضاف: «كانت الأسطوانات قد انتهت، أمس الأول، واضطررت لتأجير عربة نصف نقل على حسابى الخاص والتوجه إلى مستشفى كفر الشيخ العام لتبديل أسطوانة أكسجين».

وأضاف أن حالة زوجته كانت قد تحسنت ووصلت نسبة الأكسجين بالدم ٤٦٪، إلا أنها انخفضت مرة أخرى إلى ٣٥٪ بسبب نقص الأكسجين، مما يضر بصحتها، معرباً عن قلقه من نقص الإمكانات فى المستشفى، وعدم تشغيل جهاز فحص نسبة غازات الدم حتى الآن رغم إحضاره منذ أربعة أيام فقط.

وطالب بتدخل وزير الصحة لعدم وجود إخصائى عناية مركزة بمستشفى حميات كفر الشيخ، وأن جهاز فحص الدم معطل والفنى لم يستطع تشغيله، وأن المريضة مهددة بالوفاة لعدم وجود الرعاية بالمستشفى.

وفى الغربية، احتجز مستشفى حميات طنطا، أمس، حالتين جديدتين للاشتباه فى إصابتهما بمرض أنفلونزا الطيور.

وقال الدكتور شريف حمودة، وكيل وزارة الصحة بالمحافظة، إن الحالتين لسيدة تبلغ من العمر «٢٣ عاماً» وتدعى بشرى أحمد موسى، ونجلتها سلمى محمد «عام ونصف العام»، بعد شعورهما بضيق فى التنفس وإحمرار الوجه وارتفاع شديد فى درجة الحرارة،

وتم احتجازهما داخل المكان المخصص لمثل هذه الحالات فى المستشفى، وتم أخذ عينات دم ومسحة حلق منهما، وإرسالها للمعامل المركزية بوزارة الصحة لبيان مدى إصابتهما بالمرض من عدمها.

[Treyfish]

RIGHT] Ms. lose her baby ..

و«الصحة» تنفي تسبب الفيروس في الإجهاض

And «health» denies causing the virus to abortion [/indent]

كتب- طارق عبد العزيز:

Books - Tariq Abdul-Aziz:

أكدت وزارة الصحة مساء أمس الأول -الجمعة- الإصابة البشرية رقم 65 بمرض إنفلونزا الطيور لسيدة تدعي هدية صلاح رجب -25 سنة- من حي المرج بالقاهرة ليرتفع عدد الحالات المصابة خلال العام الجاري إلي 14 حالة إصابة في أقل من أربعة أشهر.

The Ministry of Health on Wednesday evening - Friday - No. 65 of human infection of bird flu, a woman claims a gift Salah Ragab -25 years - Lawn neighborhood in Cairo, bringing the number of reported cases during the current year to 14 cases in less than four months.

وأكدالدكتور عبد الرحمن شاهين أن المصابة كانت تعاني من ارتفاع في درجة الحرارة وضيق شديد في التنفس عقب تعرضها لطيور نافقة يشتبه في إصابتها بمرض إنفلونزا الطيور،

Okdalcanuto and Abdel-Rahman Shaheen, said that the infected were suffering from high fever and respiratory distress after exposure to dead birds suspected of being infected with avian flu, [/left][/right]

لافتًا إلي أنه فور الاشتباه في إصابتها بالمرض تم إعطاؤها عقار «التاميفلو» إلا أن حالتها الصحية حرجة مما استلزم وضع المصابة علي جهاز التنفس الصناعي.

He pointed out that once the suspicion of being infected with the disease were given the drug «Tamiflu» However, the critical condition of health, which necessitated the development of the affected on a ventilator.

وفي سياق متصل أكد الدكتور عمرو قنديل -رئيس الإدارة المركزية للأمراض المعدية بوزارة الصحة - أن حالة الإصابة الأخيرة تعد أول إصابة لسيدة حامل منذ ظهور المرض في مصر -فبراير عام 2006- مشيرًا إلي أن إصابة تلك السيدة بالالتهاب الرئوي المزدوج وارتفاع درجة حرارتها أديا إلي فقد المريضة لجنينها في الشهر التاسع من الحمل نافيًا أن يكون فيروس إنفلونزا الطيور هو السبب في إجهاضها، لافتًا إلي أن حالة المريضة حرجة للغاية.

In a related context, Dr. Amr Kandil - Head of Central Department for Infectious Diseases, Ministry of Health - the case of the latter is the first injury to a pregnant woman since the outbreak of bird flu in Egypt - February 2006 - indicating that the injury to her double pneumonia and a high temperature led to the loss of sick of her in the ninth month of pregnancy, denying that the bird flu virus is the cause of a miscarriage, he said, adding that the patient's condition very critical.

وأشار قنديل إلي أن سبب الإصابات المتتالية التي تشهدها مصر منذ مطلع عام 2009 هو التربية المنزلية للطيور، لافتًا إلي أن 62 حالة «5،95%» من إجمالي الحالات الـ 65 كانت بسببها، موضحًا أنه لاتزال هناك ثلاث حالات تخضع للعلاج المكثف بالمستشفيات نظرًا لخطورتها فيما تماثلت 11 حالة للشفاء من إجمالي الـ 14 حالة التي أصيبت خلال العام الجاري.

He noted that the reason for Qandil successive infections in Egypt since the beginning of 2009 is home to birds, pointing out that 62 cases «5,95%» of the total 65 cases have been sought, adding that there are still three cases are subject to intensive hospital treatment because of the seriousness of corresponded with 11 cases of recovery of the total of 14 which was the case during the current year.

وحذر قنديل المواطنين من التعامل المباشر مع الطيور، لافتًا إلي ضرورة منع تربية الطيور المنزلية.

Qandil warned citizens from dealing directly with the flu, he said, pointing to the need to prevent the breeding of domestic birds.

http://74.125.91.132/translate_c?hl=...mJC6cEORkJntEg

[AlaskaDenise]

Originally Posted by niman

Commentary

http://www.recombinomics.com/News/04...rel="nofollow"

Commentary

H5N1 Cairo Cases Cause Concern
Recombinomics Commentary 08:45
April 18, 2009

A 25-year-old Egyptian woman has contracted the highly pathogenic bird flu virus after coming into contact with infected birds, the latest case in a growing spate of infections in Egypt, state media said on Friday.

The woman, from El-Marg on Cairo's outskirts, was in a critical condition on a ventilator after falling ill with a fever on April 11.

The above comments describe the latest confirmed H5N1 case in Egypt. Earlier cases had been predominantly (10/11) toddlers (age 1 ½ to 2 ½) with mild H5N1 (only one of the 10 had been characterized as “critical”) and all have recovered, as did the first adult (38F).

Recently however, the cases have been critical (6M, 33F, 25F) and these cases have had a larger gap between disease onset day and the start of oseltamivir treatment. The delay in the first such case (6F) was due in part to a denial if contact with dead or dying poultry. In Egypt, patients with bird flu symptoms and stated contact with dead or dying poultry leads to the immediate start of osletamivir treatment, which is generally prior to test result.

The above comments that the patient had contact with infected birds suggest that the birds have been H5N1 confirmed, but there has been no confirmed birds reported in the area of the most recent case (see updated map). The closest H5N1 confirmation was the 6M case, raising concerns of a more efficiently transmitted H5N1.

There is concern that the mild toddler cases is linked to a 3 BP deletion that was in the H5N1 in a Qena cluster in 2007, when there was another series of mild cases (16/17 survived, and 16/17 were children between ages of 3-10). However, some of the older cases infected with H5N1 with the deletion died or survived after being in critical condition.

Therefore, the release of sequences from the 2009 sequences would be useful. The first two sequences were included in a WHO phylogenetic tree, which suggested that those two mild toddler cases had the deletion.

Identification of the “infected birds” in northeastern Cairo would also be useful.

.

[HenryN]

Date of report: 17 April 2009
Governorate: Cairo
District: El Marg
Event summary: Woman, age 25, 33 weeks pregnant, began experiencing symptoms of fever and cough on April 6. She was admitted to Ain Shams Hospital on April 11 and received Tamiflu April 16. Infection with avian influenza was confirmed April 17. Her family reported close contact with sick poultry. She experienced IUFD and was reported in very critical condition under artificial ventilation on April 17. The MOHP reported this was the 65th case of highly pathogenic avian influenza in Egypt.
Source of report: Amr Kandeel, Undersecretary for preventative affairs, MOHP
Samir Refaie, Head of Epidemiology and Surveillance Unit, MOHP

[Commonground]

I wonder why the hospital waited so long to start in with the Tamiflu....

[sharon sanders]

From Roche website -


"...TAMIFLU is normally not recommended for use during pregnancy or nursing, as the effects on the unborn child or nursing infant are unknown..."


http://www.tamiflu.com/sideeffects.aspx

[HenryN]

Originally Posted by Commonground

I wonder why the hospital waited so long to start in with the Tamiflu....

The 6M was also delayed and also treated at the same hospital. I suspect the delay was linked to a denial of poultry contact.
This is a teaching hospital in Cairo and must be aware of the policy in Egypt to treat suspect cases immediately.

[Treyfish]

The Ministry of Health: Affected by the death of Jenin the "guidance" Nothing to do with bird flu
19/Apr/09

He said. Abdulrahman Shaheen Media Advisor to the Minister of Health that the death of the Jenin hospital, good citizenship guide Demerdash nothing to do with the bird flu will be a child's blood tests to ascertain the reasons for his death.

The deal with the infected birds were not infected by eating meat of poultry, as it has not yet been established, the transmission of the virus through eating, especially the degree of cooking more than 100% from this point of view is to eliminate any microbe or virus and the treating physicians have hospital They lack of the virus linked to the fetus.

In addition to the drugs free from the death of the fetus.

He noted that the patient reached the hospital and their health was very bad to deal with the treatment of Tamiflu, antibiotics, and placed on a respirator and her condition is stable.

Al-Messa http://www.algomhuria.net.eg/almessa...l/detail09.asp
helblidi

[HenryN]

Originally Posted by Florida1

From Roche website -


"...TAMIFLU is normally not recommended for use during pregnancy or nursing, as the effects on the unborn child or nursing infant are unknown..."


http://www.tamiflu.com/sideeffects.aspx

But she WAS treated with Tamiflu BEFORE confirmation.

[HenryN]

The emergence of the 66 avian influenza in Kafr El-Sheikh

[20:34 مكة المكرمة ] [19/04/2009] [20:34 Mecca] [19/04/2009]

مصر هي البلد الثالث من حيث انتشار إنفلونزا الطيور Egypt is the third country in terms of the spread of avian influenza

كتب- أحمد المصري: Books - Ahmed the Egyptian:

أعلنت مديرية الصحة بمحافظة كفر الشيخ ظهور الحالة 66 المصابة بمرض إنفلونزا الطيور على مستوى الجمهورية والحالة الثانية بالمحافظة. Department of Health announced the province of Kafr el-Sheikh the emergence of the 66 infected with avian influenza at the level of the Republic and the second case the county. وأوضحت المديرية أن الطفلة منار إبراهيم زيدان سعد (18 شهرًا) من قرية شباس عمير مركز قلين تأكد إصابتها بالمرض، وأنها تتلقى العلاج بمستشفى منشية البكري بالقاهرة بدءًا من عصر اليوم. The Directorate girl Manar Saad Ibrahim Zidan (18 months) from the village of Chaabas Amir Kulain confirmed the status of her disease, and that they receive hospital treatment, the capital Cairo, starting from this afternoon. ومنذ عام 2003م أصاب فيروس (H5N1) 412 شخصًا على الأقل في 15 دولة، وتسبب في وفاة 254 منهم، كما أدَّى إلى نفوق أو إعدام أكثر من 300 مليون طائر في 61 دولة في آسيا والشرق الأوسط وإفريقيا وأوروبا. Since the 2003 virus (H5N1) 412 people, at least in 15 countries, and caused the deaths of 254 of them, also led to the deaths or culling of more than 300 million birds in 61 countries in Asia and the Middle East, Africa and Europe. وتُوفي نحو 23 مصريًّا بعد الإصابة بالفيروس، معظمهم خالطوا طيورًا منزلية مصابة في بلدٍ تعتمد فيه خمسة ملايين أسرة على تربية الدواجن في المنازل كمصدرٍ مهم للغذاء والدخل. He died about 23 Egyptians after infection with HIV, most of whom had contact with infected domestic birds in a country adopts the five million families to raise poultry at home as an important source of food and income. ونادرًا ما ينتقل فيروس (H5N1) بين إنسانٍ وآخر؛ لكن الخبراء يخشون من أنه قد يتحور إلى شكلٍ يمكن أن ينتقل بسهولةٍ بين البشر، ويصبح وباءً قد يقتل ملايين الأشخاص. Rarely transmitted the virus (H5N1) between the man and another; but experts fear it could mutate into a form that passes easily between humans, a pandemic that could kill millions of people. وقالت منظمة الصحة العالمية هذا الشهر إنها تشعر بالقلق من أن بعضَ المصريين ربما يحملون الفيروس المسبب للإصابة بأنفلونزا الطيور دون أن تظهر عليهم الأعراض، وهو ما قد يزيد من فرصة تحور الفيروس إلى سلالةٍ تنتشر. The World Health Organization said this month that she was concerned that some of the Egyptians may have the virus that causes bird flu without showing symptoms, which may increase the chance the virus will mutate into a strain spread. http://www.masrawy.com/news/egypt/default.aspx

[HenryN]

Cluster in Kullin

http://maps.google.com/maps/ms?ie=UT...,0.499878&z=11

[HenryN]

Note that 33F developed symptoms April 7, raising concerns that the toddler is her child and she infected the toddler. No mention of toddler in WHO update, but WHP update on Beheiura cluster failed to state that they were cousins and next door neighbors

WHO report on 33F:

17 April 2009 -- The Ministry of Health of Egypt has reported a new confirmed human case of avian influenza . The case is a 33 year old female from Kellin district, Kfr El Sheikh Governorate. Her symptoms began on 7 April and she was hospitalized at Kfr El Sheikh Fever Hospital on 15 April where she was started on oseltamivir the same day (15 April). She is in a critical condition.
Infection with H5N1 avian influenza was confirmed by the Egyptian Central Public Health Laboratory on 15 April.
Investigations into the source of her infection indicate a history of close contact with dead and sick poultry prior to becoming ill.
Of the 64 cases confirmed to date in Egypt, 23 have been fatal.

[Treyfish]

In less than 30 hours ..

الإعلان عن الإصابة 66 بأنفلونزا الطيور

The announcement of the 66 bird flu infection

الأحد، 19 أبريل 2009 - 21:28

Sunday, April 19, 2009 - 21:28

الإصابة رقم 66 هى ثالث حالة على التوالى فى أقل من ثلاثة أيام

Injury is the third No. 66, respectively, in the case of less than three days

كتبت أميرة عبد السلام

Written by Amira Abdel-Salam

تأكدت مساء اليوم الأحد، الإصابة البشرية رقم 66 بمرض أنفلونزا الطيور لطفلة تدعى منار إبراهيم زيدان سعد، تبلغ من العمر سنة ونصف من قرية "شباص عمير" بمركز قلين بمحافظة كفر الشيخ، حسب تصريح الدكتور عبد الرحمن شاهين المتحدث الرسمى لوزارة الصحة.

Confirmed on Sunday evening, no human infection from bird flu, 66 to baby girl named Manar Saad Ibrahim Zidan, the old year and a half from the village, "Amir Chaabas" status Kulain province of Kafr el-Sheikh, according to a statement, Dr. Abdel Rahman Shahin, official spokesman of the Ministry of Health.

قال شاهين، إن بداية ظهور الأعراض على المصابة كانت يوم 15 من الشهر الجارى، دخلت على إثرها أمس السبت، مستشفى حميات كفر الشيخ وهى تعانى من ارتفاع فى درجة الحرارة وسعال عقب تعرضها لطيور نافقة يشتبه فى إصابتها بمرض أنفلونزا الطيور، لافتاً أنه فور الاشتباه فى إصابتها بالمرض تم إعطاؤها عقار التاميفلو وحالتها المرضية مستقرة.

Sahin said that the onset of symptoms were infected on 15 this month, entered on their impact on Saturday, Kafr El-Sheikh hospital fevers with a high temperature and cough after exposure to dead birds suspected of being infected with bird flu, he said that immediately after the suspected infected with the disease were given the drug Tamiflu, a stable and satisfactory condition.

الإعلان الإيجابى لإصابة الحالة رقم 66، والتى تعتبر ثالث حالة على التوالى فى أقل من ثلاثة أيام يفتح الباب من جديد حول مدى خطورة انتشار وباء أنفلونزا الطيور فى مصر وجدوى العلاج الحالى للمرض.

A positive injury case No. 66, which is the third in a row in less than three days open the door of the seriousness of a new outbreak of bird flu in Egypt and the feasibility of this treatment of the disease.http://74.125.91.132/translate_c?hl=en&langpair=ar%7Cen&u=http://www.alyoum7.com/News.asp%3FNewsID%3D90848%26SecID%3D97%26IssueID%3 D49&prev=/translate_s%3Fhl%3Den%26q%3D%2Bbird%2Bflu%2B%2Bapr il%2B6%2B2009%26tq%3D%25D8%25A7%25D9%2586%25D9%258 1%25D9%2584%25D9%2588%25D9%2586%25D8%25B2%25D8%25A 7%2B%25D8%25A7%25D9%2584%25D8%25B7%25D9%258A%25D9% 2588%25D8%25B1%2B6%2B%25D8%25A3%25D8%25A8%25D8%25B 1%25D9%258A%25D9%2584%2B2009%26sl%3Den%26tl%3Dar%2 6start%3D40&usg=ALkJrhjUq-IjZU25Nf2kXMcWmP7iOfXFzg

[HenryN]

Commentary

http://www.recombinomics.com/News/04...rel="nofollow"

[HenryN]

Kellin close up

http://maps.google.com/maps/ms?ie=UT...,0.031242&z=15

[Dutchy]

Sunday, April 19, 2009

Another H5N1 Human Infection case in less than 72 hours

This is not good.

The ministry of health has announced today that year and half Manar Ibrahim Zidan is No.66 in the H5N1 human infection roll in Egypt. This is so fast , it is less than 48 hours from the announcement of Case No.65 !!

Baby Manar is from a village in Kafr El-Sheikh ,Delta, there were several case from Kafr El-Sheikh this year, I recall case No.64 Mrs. Sadia is from Kafr El-Sheikh too . I hope someone will make a map like the one posted last year with the infections locations and compared it with last year’s map. I think Al-Fayoum,Bahaira and Kafr El-Sheikh are the top governorates with the highest H5N1 infection rate.

It seems that we are going to back to babies with H5N1 after all. Anyhow Manar has entered the hospital on the 15th of April and she was given Tamflu and thank God her condition is stable .

http://egyptianchronicles.blogspot.com/