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The use of good judgement during the discussion of controversial issues would be greatly appreciated.

Egypt July 25 to November 29, 2009

by: AlohaOR

Sat Jul 25, 2009 at 02:07:55 AM EDT


This Diary is to report and discuss the situation in Egypt.
AlohaOR :: Egypt July 25 to November 29, 2009
The prior Egypt news diary is here.

Map by Okieman (added by DemFromCT):

...Thanks to cottontop for the diligent translation and news-hounding.  

Tags: , , (All Tags)
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Thank you AlohaOR. n/t


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Can I ask why the map only goes to Jan, 2008?
It seems like it isn't that helpful unless it's current... or perhaps there's a different reason for it being there?

[ Parent ]
Hi Cathy~
Okieman does the maps. I suppose if we give him a shout he could get an updated one. Or if somebody has an updated one they could send it to Dem. I don't know why it hasn't been updated.  

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[ Parent ]
Bird flu case No. 83 reported
Saturday, August 01, 2009

Bird flu case No. 83 reported

A new human bird flu case was reported in Egypt Friday 31/7/2009.

A year-and-a-half-child, from Shbein El-Koum, Menufiya governorate, tested positive for the virus, said Amr Qandeel, the Health Ministry's Undersecretary for Protection Affairs.

The child showed bird flu-like symptoms on July 28 and was admitted to hospital and given anti-viral Tamiflu vaccine.

The new case raises the number of bird flu cases in Egypt to 83 since the virus first appeared in the country in 2006.

http://www.sis.gov.eg/En/Egypt...
 

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Egypt announces 17 new cases of H1N1 virus
By Nehal El Farghly / Daily News Egypt
First Published: July 31, 2009

CAIRO: Health Ministry official Mohamed Attah announced the discovery of 17 new cases of swine flu, bringing the total number to 255, of which 167 have recovered, one died and 87 are under treatment.

Abdel Rahman Shaheen, the Ministry of Health spokesman, explained in an official statement that the 17 cases, include 14 Egyptians who recently arrived from Saudi Arabia, Britain, Indonesia, and three who were in contact with some of them. The last three are two Saudi and one Kuwaiti citizen.

Commenting on the recent increase in the number of cases, Dr Ahmed Abdel Aziz, professor of clinical pharmacy at Helwan University, said that the spread rate of the virus in Egypt is moderate and that he finds the current situation reassuring.

"The real danger is if the virus mutates into a combination of of bird flu and swine flu ... the world must find a vaccine before this happens," said Abdel Aziz.

In response to what was raised on some electronic sites regarding the ineffectiveness of the drug Tamiflu, both Atta and Abdel Aziz denied the claims as well as rumors about the emergence of cases resistant to the drug in Egypt.

Abdel Aziz also clarified that the drug limits the communicability of the virus but does not eliminate it.

http://www.thedailynewsegypt.c...

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9 new cases infected with H1N1
The total number of cases to 274 cases
"Health," announced the discovery of 9 new cases infected with the "pigs"
01/Aug/09

Ministry of Health announced Saturday the discovery of 9 new cases infected with "The 1 H 1" universally known as the swine flu, bringing the total cases in Egypt since the discovery of the disease so far, 274 cases.

"The Undersecretary of the Ministry of Health for Preventive Affairs, Dr. Amr Kandil, among the cases, 8 cases of Egyptians, including 5 cases from Saudi Arabia and Mkhalttin two positive cases were detected before, and the case not linked to any cases of a positive precedent.

He added that among these was the case of Saudi nationality coming from Saudi Arabia, where he was booking all the cases in hospitals for proper treatment of the drug "Tamiflu", and all of their stable.

He explained that Dr. Amr Kandil Total cases recovered from the disease so far hit 187 and the status of the case and one death, and the rest of the cases and the case of the 86 still receiving treatment in hospitals and state of health of all stable.

google translated
orginal article

http://www.egynews.net/wps/por...

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16 new cases of H1N1
The discovery of 16 new cases of swine flu in Egypt, bringing the number to the case of 314
-5/Aug/09

CAIRO - Editor Masrawy - The Ministry of Health, the discovery of 16 people were newly infected with A (H 1 that 1) is known swine flu, bringing the total so far 314 cases since the disease appeared in Egypt.

Said Dr. Amr Kandil and Undersecretary of the Ministry of Health for Preventive Affairs, that among these cases, 12 cases of Egyptians, including one case coming from Saudi Arabia after performing Umrah and the status of Dubai and the state of Britain and 7 cases associated with the status of a previous positive cases were not linked to any cases of a positive precedent.

He added that other cases including 3 cases of Saudi nationality, including two coming from Saudi Arabia, Jordan and the state of the last Vietnamese nationality coming from Vietnam.

The total amounted to 219 cases of recovery and the status of the case and one death and the rest of the 94 cases and the case of receiving hospital treatment drug Tamiflu, and all of their stable.

goggle translated
orginal article

http://www.masrawy.com/News/Eg...

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Egypt to buy five million doses of H1N1 vaccine
By Yasmine Saleh / Daily news Egypt

First Published: August 6, 2009
CAIRO: The Ministry of Health will obtain five million doses of an H1N1 vaccine by next year, according to Nasr Al-Sayed, deputy health minister.

"Egypt already ordered five million doses of the new vaccine from the manufacturing company," Al-Sayed said.

Al-Sayed added that the ministry is contacting international pharmaceutical companies to negotiate deals to buy more of the vaccine.

"The new vaccine will not be produced all over the world before next January, according to the World Health Organization (WHO), so there is no way we can provide it in Egypt earlier than that," Al-Sayed said.

Drug companies worldwide will only produce 100 million doses of the vaccine, however it is estimated that six billion doses are needed. Two doses are required per person to protect against the H1N1 virus.

Minister of Health Hatem El-Gabaly indicated that the ministry will not purchase the new vaccine in large quantities unless the situation in Egypt requires it to do so.
"The virus at its current status is very mild and can simply be treated with an aspirin and a few days resting at home," El-Gabaly said, "so I will not buy a vaccine that costs the country millions of dollars unless it is needed."

http://www.newsnow.co.uk/h/?se...

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24 new swine flu cases
8/11/2009 12:35:00 AM

CAIRO, Aug 10 (KUNA) -- Twenty four new cases of the swine flu A/H1N1 virus were confirmed, putting the toll of cases at 396, Egyptian Ministry of Health said on Monday.

The Spokesman for the Ministry of Health, Abdul-Rahman Shaheen, said in a press release that today's cases belonged to 18 Egyptian citizens and the other five were from Saudi Arabia and one from Jordan, noting that out of the 24 cases, 12 cases had been diagnosed with other infections which were previously discovered.

The spokesman added that 285 cases completely recovered from the disease, excluding the one female fatality and the rest are receiving treatment and in stable conditions. (end) hw.mb KUNA 110035 Aug 09NNNN

http://www.kuna.net.kw/NewsAge...

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2 Bird flu cases reported
Two human bird flu cases reported in Egypt - WHO
Tue Aug 11, 2009 4:05pm GMT

(hat tip Auburn Boy)

* Egypt has third largest number of human bird flu cases

GENEVA, Aug 11 (Reuters) - Two new human cases of bird flu have been reported in Egypt by the health ministry, the World Health Organisation (WHO) said on Tuesday.

An 8-year-old girl in Kfr Elsheikh developed symptoms on July 24 and was admitted to hospital the next day, where she is now in stable condition, it said in a statement.

An 18-month-old boy from Shebin Elkom developed symptoms on July 28. He too is in hospital and stable.

Investigations show that both children had close contact with dead or sick poultry, the United Nations agency said.

The two children bring to 83 the number of human bird flu infections in Egypt, giving it the third largest number of cases since 2003, after Indonesia and Vietnam. Twenty-seven of the infections in Egypt have been fatal.

Worldwide, a total of 438 people have caught the disease since 2003, of whom 262 have died, the WHO said. (For the WHO statement on the two new cases go to here) (For the WHO's cumulative table of bird flu infections go to here ) (Reporting by Jonathan Lynn, editing by Tim Pearce)

http://af.reuters.com/article/...

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Here's the WHO Update (much the same information)
http://www.who.int/csr/don/200...

Avian influenza - situation in Egypt - update 21

11 August 2009 -- The Ministry of Health of Egypt has reported 2 new confirmed human case of avian influenza A(H5N1).

The first case is an 8 year-old female from Kfr Elsheikh district, Kfr Elsheikh Governorate. Her symptoms started on 24 July 2009. She was admitted to Kfr Elsheikh fever hospital on 25 July, where she received oseltamivir treatment. The patient is in a stable condition.

The second case is an 18 month-old male from Shebin Elkom district, Menofyia Governorate. His symptoms started on 28 July 2009. He was admitted to Shebin Elkom fever hospital on 29 July 2009, where he received oseltamivir treatment, and is in a stable condition.

Investigations into the source of infection indicated that both cases had close contact with dead and/or sick poultry.

The cases were confirmed by the Egyptian Central Public Health Laboratories.

Of the 83 cases confirmed to date in Egypt, 27 have been fatal.  


[ Parent ]
Avian influenza: update 21
Avian influenza - situation in Egypt - update 21

11 August 2009 -- The Ministry of Health of Egypt has reported 2 new confirmed human case of avian influenza A(H5N1).

The first case is an 8 year-old female from Kfr Elsheikh district, Kfr Elsheikh Governorate. Her symptoms started on 24 July 2009. She was admitted to Kfr Elsheikh fever hospital on 25 July, where she received oseltamivir treatment. The patient is in a stable condition.

The second case is an 18 month-old male from Shebin Elkom district, Menofyia Governorate. His symptoms started on 28 July 2009. He was admitted to Shebin Elkom fever hospital on 29 July 2009, where he received oseltamivir treatment, and is in a stable condition.

Investigations into the source of infection indicated that both cases had close contact with dead and/or sick poultry.

The cases were confirmed by the Egyptian Central Public Health Laboratories.

Of the 83 cases confirmed to date in Egypt, 27 have been fatal

http://www.who.int/csr/don/200...

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Thanks for all your hard work, cottontop. n/t


"I am opposed to any form of tyranny over the mind of man."  Thomas Jefferson

[ Parent ]
Egypt Puts Restrictions on Umrah Pilgrims
Egypt Puts Restrictions on Umrah Pilgrims over Flu Fears
15 August 2009 JEDDAH - Egypt has imposed partial curbs on pilgrims coming to Saudi Arabia for Umrah during the holy month of Ramadan.

"Until further notice Umrah pilgrims who have not been issued visas and who are under 25 or over the age of 65 will not be allowed to perform Umrah this Ramadan," Egypt Health Minister Hatim Al Jabali Al Jabali said during a programme aired on Egyptian television on Thursday.

He said that only those pilgrims for whom Umrah visas were issued before Thursday would be allowed to travel to Saudi Arabia.

The minister was commenting on a recent decision of an Egyptian ministerial committee to suspend permission for new Umrah trips for Egyptians as a precaution against the spread of the H1N1 virus in the country.

Egypt's decision follows moves by Iran and Iraq to suspend Umrah pilgrimage during Ramadan.

A committee studying the spread of the swine flu decided on Wednesday to bar any more Egyptians from going to Saudi Arabia for Umrah.

Egyptian workers carrying valid residency/work permits of Saudi Arabia will, however, be allowed to travel to the kingdom.

"The ministry of health also fears that the interaction between the bird flu virus and swine flu virus might breed a still more dreadful strain of the virus," Al Jabali said.

He said the number of Egyptian travellers infected with the H1N1 virus returning from the kingdom was higher than the travellers affected by the same disease returning from other countries.

"Out of a total of 80 returning passengers carrying the virus over the past week, 23 per cent were from Saudi Arabia, 17 per cent from Britain and 10 per cent from the United States," he added.

contiued
http://www.khaleejtimes.com/Di...

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Chaos erupts in Cairo airport on swine flu rules
8/16/2009, 5:53 a.m. EDT
OMAR SINAN

The Associated Press
(AP) - CAIRO - An official at Cairo's airport says chaos erupted when dozens of passengers hoping to perform a pilgrimage to the holy city of Mecca were stopped by new measures to prevent the spread of swine flu.

Egypt and many other countries in the region are banning those under the age of 12 and over 65 from performing the pilgrimage to Mecca, which is especially popular during the holy month of Ramadan.

The restrictions came into force Sunday morning, prompting security to remove a number of passengers from flights after they had boarded.

Many of the passengers then refused to leave the terminal and protested, the official added on condition of anonymity because he was not authorized to speak to the press.

http://www.silive.com/newsflas...
Pilgrims often save for years to make the journey.


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H5N1 outbreaks in birds
http://www.saidr.org/en/animal...
RECENT CASES:

Date of result: 6 August 2009
Date of sampling: 5 August 2009
Governorate: Qalyioubia
District: Banha
Village/city/quarter: Mit el Atar
Type of rearing: farm
Species: duck
Number of birds: 2,000
Vaccination status: vaccinated
Purpose of sampling: Test before slaughter

----------------------------------------------------------

Date of result: 4 August 2009
Date of sampling: 4 August 2009
Governorate: Fayoum
District: Sinouris
Village/city/quarter: Tersa
Type of rearing: Household
Species: Mixed (chickens, ducks)
Number of birds: 82
Vaccination status: Unknown
Purpose of sampling: PDS surveillance
----------------------------------------------------------

Date of result: 28 July 2009
Date of sampling: 28 July 2009
Governorate: Dakahlia
District: Tomay El Amdid
Village/city/quarter: El Saudia
Type of rearing: Household
Species: Mixed (chickens, ducks)
Number of birds: 60
Vaccination status: Vaccinated
Purpose of sampling: PDS surveillance


Why Egypt slaughtered all those pigs
(This is a blog I came across and thought I should post it here. Good reading.-cottontop)

BLOG- Health Spectator

snip

Why Egypt slaughtered all the pigs

Something we haven't yet mentioned, and which we also owe to McPherson's website is the explanation of why the Eqyptians slaughtered all those pigs. (Swine flu: Why Egypt wants to kill all the pigs.) It's worth a read on McPherson's blog, as he does a good job of elaborating the story. We'll try to give the short version here.

Those who follow influenza outbreaks are well aware that the dreaded avian flu (H5N1 virus) has made a home in Indonesia, where it has been jumping from birds to humans often enough to put a dent of 57 or so deaths in the human population. But less known to most Americans is that Egypt has also had problems with the bug. In fact, Egypt has the highest avian flu prevalance outside of Asia.

Avian flu infections in Egypt have appeared steadily since 2006 and have killed at least 26 people there. Meanwhile, as of August 19 there have been 509 cases of swine flu reported in Egypt.3 So, for those who fear the combination of H1N1 and H5N1 virus strains, Egypt is as likely a melting pot as Vietnam or Indonesia. And, like Vietnam, it has both outbreaks occurring in the human population.

What Egypt also had until recently was a large pig population-300,000 give or take a few-despite being a Muslim country where eating pork is forbidden to all but the occasional stray Christian. As Thacker and Janke note,

pigs would be the ideal mixing vessel for the creation of new avian/mammalian influenza viruses capable of causing novel diseases with the potential for producing pandemics in the human population. Whether this will happen easily, however, is less clear, although it is apparent that, in the US swine industry, transmission of influenza viruses between swine and humans is fairly common and is bidirectional. The pandemics of the past appear to have involved the introduction of whole or partial avian influenza viruses into a human population directly, rather than through swine.4 5

So the World Health Organization (WHO) and many Egyptians had been worried for some time that the strains of swine flu and bird flu already present in that country might take advantage of the pig population-which in Egypt, apparently, lives not only in close proximity to humans, but within the cities rather than in the country-to recombine into something very contagious and very, very deadly.6

The pigs had to go.

continued
http://healthspectator.com/200...

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Egypt: Thirteen swimmers from Zamalek Club with H1N1 virus
hat tip Cathy M

Panic swept through Zamalek after 13 of the club's
swimmers were found to have caught swine flu during their participation in the districts' competition hosted last week by Ahli Club in Nasr City. Around 600 swimmers participated in the event but H1N1 appeared to strike only Zamalek athletes.

[snip]

Saber Serag, a member of the Zamalek board, announced the indefinite suspension of all swimming activities in the club.

[snip]

Hani Abu Reida, head of the Egyptian organising committee of the FIFA U-20 football World Cup, affirmed the tournament would take place on its official date, starting 24 September, and that there was no inclination of postponing or canceling the competition because of swine flu."

[snip]

http://weekly.ahram.org.eg/200...

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Egypt: No sick leave for schools
hat tip Cathy M

Despite the growing number of swine flu cases and official warnings that the virus may return in a more aggressive form in the autumn, a month ahead of the beginning of the school year on 26 September the Ministry of Health has announced that there are no plans to close schools to halt the disease.

[snip]

The Ministry of Health has already printed thousands of leaflets to be distributed among pupils during the first week of the school year. Awareness campaigns informing students and teachers of the importance of preventative hygiene are also planned.

[snip]

The ministry will monitor the situation in schools via the 63 video conference sites it maintains with school principals, says Reda Abu Serie, deputy minister of education and member of the joint committee. "The sites will be used to train headmasters, teachers and parents on how to deal with a sick child and will include regular updates on the spread of the H1N1 virus among students."

[snip]

Confirmed infections of swine flu have reached an average of 90 cases per week. The Cabinet Information Decision Support Centre (IDSC) reports that of existing cases 76.6 per cent of patients have made a full recovery.

http://weekly.ahram.org.eg/200...

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H5N1 Follow Up : case 84
http://egyptianchronicles.blog...

8/29: The ministry of health has announced the H1N5 infection no.84 in Egypt yesterday. The ministry of health announced that 20 month old girl from Monfia governorate in Delta has been infected by the virus thanks to domestic poultry.
[snip]


Avian Influenza, Human (110) 85 th case
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: Sat 29 Aug 2009
Source: Avian Flu Diary, KUNA News Service edited]The Egyptian health authorities announced today [29 Aug 2009 the 85th human case of avian influenza A (H5N1) infection since the disease appeared in Egypt.

The undersecretary of the Ministry of Public Health for preventive [medicine], Dr Amr Kandil, told reporters that the new case is a 14 year old girl from the village of Damietta (North Delta), [who became infected]
as a result of coming into contact with infected domestic birds. He pointed out that, after the onset of symptoms and high temperature, [the girl was
admitted to hospital and treated with Tamiflu]. He stated that the girl was now in a stable condition.

--
communicated by:
ProMED-mail rapporteur Mary Marshall

[Human cases of avian influenza A (H5N1) virus infection appeared in Egypt in February 2006 and have resulted in the deaths of 27 people. This case is the 34th human infection of the year [2009] in Egypt, which is a considerable jump from the total of only 8 cases reported in the preceding year [2008].

Although the rate of infections slowed during the summer
months of 2009, unusually, cases have occurred in August 2009.

Official confirmation of cases 84 and 85 is awaited. - Mod.CP]

http://promedmail.oracle.com/p...

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WHO: Avian influenza - situation in Egypt - update 22
http://www.who.int/csr/don/200...

31 August 2009 -- The Ministry of Health of Egypt has reported 2 new confirmed human case of avian influenza A(H5N1).

The first case is a 2 year-old female from Menofyia Governorate. Her symptoms started on 23 August. She was admitted to a fever hospital on 26 August, where she received oseltamivir treatment. The patient is in a stable condition.

The second case is an 14 year-old female from Damitta Governorate. Her symptoms started on 21 August. She was admitted to a fever hospital on 23 August, where she received oseltamivir treatment, and is in a stable condition.

Investigations into the source of infection indicated that both cases had close contact with dead and/or sick poultry.

The cases were confirmed by the Egyptian Central Public Health Laboratories.

Of the 85 cases confirmed to date in Egypt, 27 have been fatal.  


Suspected H5N1/H1N1 co-infection in Egpyt
A sample taken from a 28 year-old man who arrived at the port of Safaga from Saudi Arabia after performing Umrah [pilgrimage] has tested positive for [both] bird and swine flu [that is, presumably avian influenza (H5N1) virus and pandemic (H1N1) 2009 virus infections]. He was immediately detained and held in isolation in a hospital in Hurghada.

http://www.promedmail.org/pls/...


That's the nightmare scenario . . .
I guess now we might get to see what happens when the two types meet up real close and personal . . .

These pilgrimages should be as non-existent as children being in school.  

I'm still seething at the idea of universities "isolating" those with H1N1 instead of sending them home, where I think they belong.


[ Parent ]
Isolation like this?
Emory moves students with swine flu into one dorm

http://www.ajc.com/news/atlant...

Presumably not all these students have been confirmed as having novel H1N1...


[ Parent ]
Specious Report of Bird and Swine Flu Co-infection
Date: Wed, 2 Sep 2009
From: Mary Marshall mjm2020@googlemail.com
Source:  ScienceInsider
http://blogs.sciencemag.org/sc...

Specious Report of Bird and Swine Flu Co-infection
--------------------------------------------------
An Egyptian news story that is starting to receive worldwide attention  
about a nightmare swine flu/bird flu co-infection is inaccurate,  
according to officials at the U.S. Centers for Disease Control and  
Prevention (CDC).
On 30 August, the well-regarded Egyptian newspaper Almasry reported  
that an Egyptian man who returned from a religious pilgrimage to Saudi  
Arabia had tested positive for both the highly lethal bird flu virus,  
H5N1, and the novel H1N1 strain that is the cause of the swine flu  
pandemic.

This was the first such report of a co-infection with the two viruses,  
which many researchers fear because the mix could create a new virus  
that has the virulence of bird flu, which does not move easily between  
humans, and the highly transmissible swine flu.

The Egyptian report was picked up yesterday by the widely read
electronic surveillance system ProMED. Although the ProMED moderators  
raised many questions about the story, it remained unclear whether it  
was accurate. According to Nancy Cox, head of the CDC?s influenza  
division, there is no evidence that this man is infected with both  
viruses. ?Our reliable sources indicate that this report is  
incorrect,?  Cox told ScienceInsider in an e-mail. Apparently, tests  
have shown that the man is co-infected with the pandemic H1N1 and the  
seasonal H3N2 virus. ?There will be follow up testing to confirm,?  
according to Cox. As many as 5% [1 in 20]  people who develop flu  
symptoms are infected with 2 different influenza viruses.
[By Jon Cohen]

[The statement from the Egyptian Ministry of Health denies the  
earlier report that a pilgrim returned from Saudi Arabia was infected  
with both pandemic  H1N1 influenza virus and an avian (H5N1) influenza  
virus strain.
It now appears that the co-infection is believed to be between 2 low  
virulence viruses (pandemic H1N1 & H3N2) and not between a highly  
virulent, poorly transmissible, virus (pandemic H1N1) and a highly  
transmissible strain of low virulence (H5N1)  which might, as a result  
of genetic interaction, generate a highly transmissible and highly  
virulent strain. The consequences of the interaction as a result of  
co-infection of 2 highly transmissible viruses of low to moderate  
virulence, as in the present case, are unclear but less threatening.

A question arises over the accuracy of the diagnostic procedures  
supporting the claim of co-infection. A highly relevant comment on the  
original report from Egypt has been received from Jason L Garner,  
Senior Molecular Biologist, Global Influenza Surveillance  
jasonlgarner@gmail.com and is reproduced in full below.

"This is a worrisome event.
1)    My 1st and obvious question is how were these results obtained? DFA  
[direct fluorescence antibody]? RT-PCR? rRT-PCR?
2)    Also, what type of specimen was used in the assay, such as NP  
[nasopharyngeal], nasal wash, throat swab, virological culture? Unlike  
seasonal or pandemic A (H1N1) flu, the preferred method for collecting  
HPAI H5N1 specimens is via throat swab, and the others either NP or  
nasal wash. From a molecular standpoint HPAI H5N1 is difficult to  
discern even in sensitive rRT-PCR assays, unless an original throat  
swab and/or a cultured isolate was employed.
3)    If it was obtained with cultured isolate, wouldn't one strain  
perhaps out-compete the other as is usually the case with seasonal H1  
and H3 viruses?
4)    Are there substantial differences in LPAI and HPAI gene segment  
targets to discern with assay used?
5)    Lastly, how and by what methods, if any, were potential  
contamination variables controlled?
Very interested to learn more."

A response from the Egyptian Ministry of Health would be welcomed. -  
Mod.CP/JW]

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I remain skeptical.
For one thing, aren't these tests for H5N1 usually done or at least confirmed by NAMRU?  If so, I doubt that anyone would accuse NAMRU of low tech mistakes that would mis-identify an H3 virus as H5N1... We and WHO have been accepting case after case of rapidly identified H5N1 this year - 34 plus so far - yet suddenly this one is in error?

Secondly, I would be more surprised if Egypt et al did NOT deny this co-infection if true:  It could well set off a rather broad panic, and in addition - should it prove to be the initiator of a deadly H5N1/H1N1 pandemic strain - they certainly wouldn't want to bear the brunt of the resultant blame and shame, nor have it named "The Egyptian Flu" for all of history.

I say the verdict is still out on this one and Egypt should be high on our radar for awhile at least.

Always have a plan B.


H5N1 outbreaks in birds - SAIDR report through Aug 30
http://www.saidr.org/en/animal...

Date of result: 30 August 2009
Date of sampling: 30 August 2009
Governorate: Menoufiya
District: Berket el Sab'
Village/city/quarter: Kafr Alim
Type of rearing: Household
Species: Chicken
Number of birds: Not reported
Vaccination status: Unvaccinated
Purpose of sampling: Surveillance after positive human case number 84

----------------------------------------------------------

Date of result: 30 August 2009
Date of sampling: 30 August 2009
Governorate: Fayoum
District: Etsa
Village/city/quarter: Tutun
Type of rearing: Household
Species: Ducks, chicken
Number of birds: Not reported
Vaccination status: Unvaccinated
Purpose of sampling: Notification

----------------------------------------------------------

Date of result: 30 August 2009
Date of sampling: 28 August 2009
Governorate: Beheira
District: Damanhour
Village/city/quarter: Meniet Bani Moussa
Type of rearing: Household
Species: Mixed
Number of birds: 12
Vaccination status: Unknown
Purpose of sampling: Surveillance after suspected human case

----------------------------------------------------------

Date of result: 28 August 2009
Date of sampling: 27 August 2009
Governorate: Dakahlia
District: Tomay al Amdid
Village/city/quarter: Kafr Singab
Type of rearing: Household
Species: Chicken
Number of birds: 35
Vaccination status: Unknown
Purpose of sampling: PDS surveillance

----------------------------------------------------------

Date of result: 19 August 2009
Date of sampling: 18 August 2009
Governorate: Sharkia
District: Mashtoul
Village/city/quarter: El Monayar
Type of rearing: Household
Species: Duck
Number of birds: 10
Vaccination status: Unvaccinated
Purpose of sampling: Surveillance after suspected human case

----------------------------------------------------------

Date of result: 18 August 2009
Date of sampling: 17 August 2009
Governorate: Kafr el Sheikh
District: Kallin
Village/city/quarter: El Munshaa el Soghra
Type of rearing: Farm
Species: Chicken (broiler)
Number of birds: 2,400
Vaccination status: Vaccinated
Purpose of sampling: Test before slaughter


Egypt: Schools out still
hat tip Cathy M

The Council of Governors held an emergency meeting on Thursday 10 September to discuss ways to halt the spread of swine flu. The council, chaired by Prime Minister Ahmed Nazif, agreed to a one week postponement of the beginning of the school year, to 3 October, amid growing fears that the return of Egyptian omra pilgrims later this month could bring a new influx of carriers.
[snip]
El-Gamal also said that should the beginning of the academic year be further postponed satellite channels will be used to broadcast educational programmes to ensure pupils do not fall behind in the curriculum.
The World Health Organisation (WHO) has advised governments to close schools should rates of infection reach one per cent of pupils.
[snip]
The ministers of education and health say school doctors and headmasters who fail to act according to regulations will face heavy penalties.
"We will not accept excuses," El-Gabali stated. "Visiting doctors hired to make regular school visits to monitor the situation must stick to their schedules. Headmasters who fail to report cases of swine flu will be severely penalised. There can be no excuses."
The health minister added that, "if the percentage of infection reaches one per cent among school students, the country's schools will close and the entire academic year will be postponed."
[snip]

El-Gabali said that he anticipated that hajj pilgrimage trips this year would soon be cancelled, especially given this year's hajj season takes place in December, when the flu virus is expected to be at its most active. He also warned that, "it is very possible that there will be further postponements of the academic year, possibly in the second half of December, January and February, depending on the situation". He raised the possibility of school continuing into the summer vacation to make up for any time lost.
Education experts question the efficacy of such delays, with MP Omar Sherif, head of the People's Assembly Education Committee, asking what possible difference it could make.
"What do they expect to achieve? Why not close the metro, cinemas, theatres, football matches and supermarkets? Why the schools? This is not a solution."
[snip]
Egypt's Ministry of Health has recorded 886 cases of swine flu, 784 of which have fully recovered. According to El-Gabali, the fatality rate of the virus worldwide is 0.9 per cent whereas the percentage in Egypt is 0.2.

http://weekly.ahram.org.eg/200...

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WHO: Two new H5N1 cases
http://www.who.int/csr/don/200...

24 September 2009 -- The Ministry of Health of Egypt has reported 2 new confirmed human case of avian influenza A(H5N1).

The first case is a 13 year-old male from Alexandria Governorate. His symptoms started on 13 September. He was admitted to hospital on 14 September, where he received oseltamivir treatment. The patient is in a stable condition.

The second case is a a 14 month old female from Tahrer District, Behira Governorate. Her symptoms started on 23 September. She was admitted to Damanhur Fever Hospital where she received oseltamivir treatment. The patient is in a stable condition.

Investigations into the source of infection indicated that both cases had close contact with dead and/or sick poultry.

The cases were confirmed by the Egyptian Central Public Health Laboratories.

Of the 87 cases confirmed to date in Egypt, 27 have been fatal.  


More on the 2 new H5N1 cases
http://www.saidr.org/en/humans...

RECENT CASES:

Date of report: 23 September 2009
Governorate: Beheira
District: Tahrir
Event summary: Baby girl, 14 months old, experienced fever and was admitted to Damanhour Fever Hospital on September 23. She was administered Tamiflu. The mother reported close contact with sick and dead poultry. She was reported in stable condition on September 23. The MOH reported this was the 87th case of highly pathogenic avian influenza in Egypt.
Source of report: Dr. Amr Kandeel, Undersecretary for Preventative Affairs, MOH
Dr. Samir Refaie, Head of Epidemiology and Surveillance Unit, MOH
------------------------------------

Date of report: 16 September 2009
Governorate: Alexandria
District: El Montazah
Event summary: Boy, 13 years old, began experiencing fever and sore throat on September 13. He was admitted to Mamoura Chest Hospital in Alexandria on September 14. Infection with HPAI was confirmed by the subnational lab on Alexandria and the central laboratories September 16. The patient had a history of working in a shop for selling and slaughtering poultry three days before the onset of symptoms. He was reported in stable condition on September 16. The MOH reported this was the 86th case of highly pathogenic avian influenza in Egypt.
Source of report: Dr. Amr Kandeel, Undersecretary for Preventative Affairs, MOH
Dr. Samir Refaie, Head of Epidemiology and Surveillance Unit, MOH


H5N1 outbreaks in birds - SAIDR report through Sep 18
http://www.saidr.org/en/animal...

RECENT CASES:

Date of result: 18 September 2009
Date of sampling: 17 September 2009
Governorate: Dakahlia
District: Tomay el Amdid
Village/city/quarter: El Samara
Type of rearing: Household
Species: Mixed (Ducks, chicken)
Number of birds: 90
Vaccination status: Unvaccinated
Purpose of sampling: Notification

----------------------------------------------------------
Date of result: 17 September 2009
Date of sampling: 16 September 2009
Governorate: Assiut
District: Assiut
Village/city/quarter: El Hoda slaughterhouse
Type of rearing: slaughterhouse
Species: chicken
Number of birds: Not reported
Vaccination status: Unknown
Purpose of sampling: Surveillance check on slaughterhouse

----------------------------------------------------------
Date of result: 17 September 2009
Date of sampling: 16 September 2009
Governorate: Sharkia
District: Mashtoul
Village/city/quarter: Nabtit
Type of rearing: Household
Species: Mixed (Duck, geese)
Number of birds: 9
Vaccination status: Unvaccinated
Purpose of sampling: Participatory Disease Surveillance (PDS)
----------------------------------------------------------

Date of result: 18 September 2009
Date of sampling: 15 September 2009
Governorate: Port Said
District: Port Said
Village/city/quarter: Ezbet Om Khalaf
Type of rearing: Household
Species: Mixed (Duck, chicken)
Number of birds: 68
Vaccination status: Unvaccinated
Purpose of sampling: Suspected human case
----------------------------------------------------------

Date of result: 9 September 2009
Date of sampling: 8 September 2009
Governorate: Menoufiya
District: Ashmoun
Village/city/quarter: El Helwas
Type of rearing: Backyard
Species: Ducks
Number of birds: Not reported
Vaccination status: Vaccinated
Purpose of sampling: PDS surveillance


Egypt's Tantra Hospital has 13 new H1N1 cases, and 7 new H5N1 cases
Sept 25, 2009

Tanta Fever Hospital was detained and released Tanta and Mahala viruses and viruses Mansoura and Minshawi year, 13 new cases suspected of contracting the disease of swine flu, including people coming from Saudi Arabia and children with symptoms similar to symptoms of the disease on them.

Were detained by Mustafa Mohammed Ali (32 years) from the village locality of good coming from Saudi Arabia, Saleh Ahmed survived (45 years) housewife from the village of Qasr Baghdad hospital was Tanta and Mr. Ibrahim Mohamed Fayed (two and a half) and toxicity Maaty Kholi (62 years) housewife coming home from Saudi Arabia Samanoud by viruses Mansoura and the essence of Osman Hamid (42 years) from the Samanoud and the adoption of Ibrahim Reza January (55 years) housewife from the facility properly Center Tanta and smile Fathi January (18 years) a student from the facility properly and the forgiveness of the Center for Tanta Karam El Sharkawi ( 10 years) students from Zefta and Mustafa Essam Mahmoud (22 years) without the work of the first resident of Tanta, Attia Mohamed Ibrahim Nofal (39 years) resident of Kafr El-Zayat, Namih Mustafa Ibrahim (55 years) a housewife from the milk market Mahalla.

Were isolated cases of places allocated to it and took swabs and sent to the tower central laboratories of the Ministry of Health to show the extent of illness or not and given Tamiflu and alert to contact them to go to the nearest hospital or viruses released at the emergence of any symptoms to them, said Dr. Sharif Hammouda Undersecretary of the Ministry of Health Gharbia.

On the other hand, held the Tanta Fever Hospital and Mahala 7 new cases of suspected bird flu patients, which were held both Amira Abdel Wahab (60) housewife from the dipper Tanta, Muhammad Ashraf (two and a half) from the Alqrcy Tanta, Mohamed Sobhy Mohammed Al-Attar (22 years), the hope of a farm village Snaded Center Tanta and Hassan Abdel Wahab Mohammed (40 years) workers from Mahalla Samanoud by viruses and Salwa Said Abdel-Rahman (30 years), a housewife from the village center Alomboutin Santah by viruses, and Tanta Mahmoud Jaber shepherd (15 years) students from the locality of the late village center Tanta Tanta by viruses and sentenced Mousa Mohammed Abu Musa (45 years) housewife from the village of Kom Qotour by viruses on the status of the camp.
Were taken blood samples and throat swabs and sent to the central laboratories of the Ministry of Health to show the extent of illness,

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H5N1 outbreaks in birds - SAIDR report through Oct 1
http://www.saidr.org/en/animal...

RECENT CASES:

Date of result: 1 October 2009
Date of sampling: 30 September 2009
Governorate: Menoufiya
District: Menouf
Village/city/quarter: Munshaat Sultan
Type of rearing: Household
Species: Mixed (chicken, ducks)
Number of birds: Unreported
Vaccination status: Unvaccinated
Purpose of sampling: Surveillance

----------------------------------------------------------
Date of result: 28 September 2009
Date of sampling: 28 September 2009
Governorate: Dakahlia
District: El Sinbillawin
Village/city/quarter: Tanboul el Kobra
Type of rearing: Household
Species : Chicken
Number of birds: 130
Vaccination status: Unvaccinated
Purpose of sampling: Notification

----------------------------------------------------------
Date of result: 27 September 2009
Date of sampling: 27 September 2009
Governorate: Dakahlia
District: Tomay el Amdid
Village/city/quarter: Abo el Sir
Type of rearing: Household
Species: Mixed (Duck, chicken)
Number of birds: 29
Vaccination status: Unvaccinated
Purpose of sampling: PDS

----------------------------------------------------------
Date of result: 27 September 2009
Date of sampling: 25 September 2009
Governorate: Dakahlia
District: Tomay el Amdid
Village/city/quarter: El Somara
Type of rearing: Household
Species: Mixed (Duck, chicken)
Number of birds: 60
Vaccination status: Unvaccinated
Purpose of sampling: Notification

----------------------------------------------------------
Date of result: 24 September 2009
Date of sampling: 24 September 2009
Governorate: Gharbia
District: Zefta
Village/city/quarter: Sonbat
Type of rearing: Household
Species: Mixed (Duck, geese)
Number of birds: 8
Vaccination status: Unvaccinated
Purpose of sampling: Suspected human case


Egypt reports third flu death
hat tip Ruby Murray

Egypt on Friday reported the third swine flu-related death in the country, where over 1,000 cases of the disease have been reported.
A 23-year-old woman from the Giza province died of the A(H1N1) virus, bringing to three the number of deaths since the disease first appeared, health ministry spokesman Abdel Rahman Shahin told the official MENA news agency.

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H5N1 outbreaks in birds - SAIDR report through Oct 13
http://www.saidr.org/en/animal...

RECENT CASES:

Date of result: 13 October 2009
Date of sampling: 13 October 2009
Governorate: Dakahlia
District: Meet Ghamr
Village/city/quarter: Kom el Nour
Type of rearing: Household
Species: Mixed (Duck, chicken, turkey)
Number of birds: 7
Vaccination status: Unvaccinated
Purpose of sampling: PDS.
Comment: Rapid Ag Field Test result was positive. Source of infection is duck brought from LBM.

----------------------------------------------------------
Date of result: 12 October 2009

Date of sampling: 11 October 2009
Governorate: Dakahlia
District Tomay Elamdid
Village/city/quarter Eldalala
Type of rearing Household
Species Mixed (Duck, geese)
Number of birds: 17
Vaccination status: Unvaccinated
Purpose of sampling: PDS. Source of infection unknown. No new stock. Flock was scavenging.


H5N1 in birds
http://www.saidr.org/en/animal...

RECENT CASES:

Date of result: 22 October 2009
Date of sampling: 21 October 2009
Governorate: Fayoum
District: Tamia
Village/city/quarter: Farkas
Type of rearing: Farm
Species: Chicken
Number of birds: 2,700
Vaccination status: Unvaccinated
Purpose of sampling: Notification
Comment: Rapid Ag Field Test result was positive. Source of infection is duck brought from LBM.

----------------------------------------------------------
Date of result: 20 October 2009
Date of sampling: 19 October 2009
Governorate: Fayoum
District: Senoures
Village/city/quarter: El Ikshas
Type of rearing: Household
Species: Mixed (Duck, chicken, turkey)
Number of birds: 12
Vaccination status: Unvaccinated
Purpose of sampling: PDS.
Comment: PDS team reported two neighbors were having the same problem. The affected birds were scavenging throughout the day. The last introduction of new birds was 6 months ago. The teams have concluded that the source of infection could be mechanical transmission via people or wild birds.


Egypt reports 4th death of A/H1N1
www.chinaview.cn  2009-10-30 18:32:30  

CAIRO, Oct. 30 (Xinhua) -- Egypt reported the 4th A/H1N1 flu death case, Al-Ahram daily said on Friday.

   A 36-year-old woman from Ismailia Governorate died of A/H1N1 virus late on Thursday, the newspaper quoted Health Ministry spokesman Abdel Rahman Shahine as saying.

   Up till now, the Ministry reported more than 1,000 cases of the novel flu virus in the most populous Arab country.

   Egypt reported its first A/H1N1 flu case on June 2, a 12-year- old Egyptian-American girl coming from the United States via the Netherlands.

   As it was hit hard by the fatal bird flu in 2006, Egypt decided in late April to cull all pigs in the country to stem the highly infectious flu A/H1N1.

Editor: Deng Shasha  

http://news.xinhuanet.com/engl...

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H5N1 in birds
http://www.saidr.org/en/animal...

RECENT CASES:

Date of result: 28 October 2009
Date of sampling: 27 October 2009
Governorate: Fayoum
District: Senoures
Village/city/quarter: Senoures city
Type of rearing: Household
Species: Mixed (duck, chicken)
Number of birds: 9
Vaccination status: Unvaccinated
Purpose of sampling: Notification
Comment: Cases were detected by the PDS team following rumors about outbreak in the area. The source of infection was determined to be geese bought from a live bird market.


Egypt reports 6th death case of A/H1N1 flu
www.chinaview.cn  2009-11-02 18:44:48

CAIRO, Nov. 2 (Xinhua) -- Egypt reported Monday the sixth A/H1N1 flu death case, the health ministry said in a statement.

A 23-year-old woman from Giza governorate, died of A/H1N1 virus in a private hospital on Monday morning, the statement said without elaborating.

Up till now, the ministry has reported more than 1,000 cases of the novel flu in the most populous Arab country.
Egypt reported its first A/H1N1 flu case on June 2, a 12-year-old Egyptian-American girl coming from the United States via the Netherlands.

http://news.xinhuanet.com/engl...

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Egpyt: Avian influenza in birds throughout village
http://www.saidr.org/en/animal...

RECENT CASES:

Date of result: 30 October 2009
Date of sampling: 29 October 2009
Governorate: Menoufiya
District: Menouf
Village/city/quarter: Zawyet Razin
Type of rearing: Household
Species: Mixed (duck, chicken)
Number of birds: 4
Vaccination status: No
Purpose of sampling: PDS
Comment: The outbreak was massively spread in the village; the source is unknown.

Date of result: 30 October 2009
Date of sampling: 29 October 2009
Governorate: Fayoum
District: Senoures
Village/city/quarter: El Hagara
Type of rearing: Household
Species: Mixed (duck, chicken)
Number of birds: 90
Vaccination status: No
Purpose of sampling: PDS
Comment: Source of outbreak determined to be young grower chickens bought from nurseries through peddlers.


H5N1 in birds
http://www.saidr.org/en/animal...

Date of result: 3 November 2009
Date of sampling: 2 November 2009
Governorate: Dakahlia
District: Dekernes
Village/city/quarter: El Quebab
Type of rearing: Household
Species: Chicken
Number of birds: 16
Vaccination status: Unvaccinated
Purpose of sampling: PDS
Comment: The source of infection was deemed to be turkeys bought from a live bird market.

Date of result: 30 October 2009
Date of sampling: 29 October 2009
Governorate: Fayoum
District: Youssef el Sedik
Village/city/quarter: Kahk Quebly
Type of rearing: Household
Species: Mixed (Duck, chicken)
Number of birds: 91
Vaccination status: Unvaccinated
Purpose of sampling: Surveillance  


H5N1 in birds: "Massive spread" after exposure to asymptomatic ducks
http://www.saidr.org/en/animal...

RECENT CASES:

Date of result: 6 November 2009
Date of sampling: 5 November 2009
Governorate: Dakahlia
District: Mit Ghamr
Village/city/quarter: Beshla
Type of rearing: Household
Species: Mixed (Chicken, ducks)
Number of birds: 36
Vaccination status: Unknown
Purpose of sampling: PDS
Comment:
--Families in the village have reported a history of massive spread of poultry deaths since March 2009 of unknown source.
--The village was the site of a confirmed human H5N1 infection (case number 72) in May 2009.
--In the current outbreak, the affected household experienced deaths among their poultry after they introduced new Peking ducklings (4 weeks old); the ducklings themselves appeared to be healthy on the date of sampling. The outbreak affected two neighboring houses only which used an open rooftop system.
--Part of the infected flock was vaccinated on May 2009: Among the vaccinated birds, the clinical signs were not severe and were limited to a decrease in egg production, ruffled feathers, and a few sudden deaths without any apparent clinical signs. Among the unvaccinated chickens (3 months old), mortality was high, with cyanosis in head and wattles.  


H5N1 in birds
http://www.saidr.org/en/animal...

RECENT CASES:

Date of result: 8 November 2009
Date of sampling: 8 November 2009
Governorate: Minya
District: Minya
Village: Bani Ahmed El Gharbia
Type of rearing: Household
Species: Mixed (chickens, ducks, geese)
Number of birds: 37
Vaccination status: Unvaccinated
Purpose of sampling: PDS

----------------------------------------------------------

Date of result: 8 November 2009
Date of sampling: 7 November 2009
Governorate: Beni Suef
District: Ehnassia
Village: El Awawna
Type of rearing: Household
Species: Mixed (Chickens, ducks, turkeys)
Number of birds: Not reported
Vaccination status: Chickens vaccinated
Purpose of sampling: PDS
Comment:
The mortality started in a turkey provided as a gift from another family in the same village. The turkey died, and a duck developed nervous manifestations. The layer chickens were vaccinated, were apparently healthy at the date of sampling, and were still alive with neither illness nor mortality for 3 successive days after sampling until the day of culling. The poultry (pigeons and turkeys) at the household which provided the turkey as a gift had no problems and tested negative by PCR for HPAI.

The team concluded that the vaccinated chickens were previously infected and shedding the HPAI virus, infecting the ducks and newly introduced turkey. This reflects the risk of silent spread of HPAI unless there is an efficient surveillance program to monitor the virus circulation in vaccinated flocks.


Health ministry no longer publishes H1H1 numbers
The Egyptian ministry of health has decided not to publish daily reports about the rates of H1N1 infections in Egypt and the number of H1N1 patients in the country , their ages and their geographical distribution , instead it will  announce its H1N1 report every week starting from next 25 November !!!!!!!!!!!!!!!!

Can I understand why ??

Announcing the H1N1 reports on a daily basis was important to people especially parents in Egypt , parents want to know the names of schools which are closed because of H1N1 and they can't wait till the end of the week to know which school was unlucky and which is lucky. Egyptian parents are so worried on their children and rumors are spreading like fire about this school and that school here and there forcing them to keep the children in home for God knows how long !!??

I believe the ministry of health should be more transparent , there is no need to publish a press release and for a daily meeting with the journalists to announce the daily infection record , the ministry can publish it on daily basis online in an interactive way 24/7 in its official website.

People in Egypt especially parents are extremely angry and do not trust both the  ministry of education and ministry of health and they have to be so because of the fact that the government always lies on us.

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Human H5N1 case
http://www.saidr.org/en/humans...

RECENT CASES:

Date of report: 17 November 2009
Governorate: Alexandria
District: Sedy Baher
Event summary: Man, 21 years old, university student. The patient began to experience fever, cough and difficulty breathing November 11. He was admitted to Maamoura Chest Hospital on November 15 and received Tamiflu. He reported having slaughtered and other close contact with sick poultry. He was reported in stable condition November 17. The MOH reported this was the 88th case of highly pathogenic avian influenza in Egypt.

Source of report: Dr. Amr Kandeel, Undersecretary for Preventative Affairs, MOH
Dr. Samir Refaie, Head of Epidemiology and Surveillance Unit, MOH


AlohaOr, good find!
I have searched my Egypt sites and cannot find any reference to this new case. Sites are not even current for h1n1 news. Of course we're not surprised are we?

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[ Parent ]
SAIDR
(Strengthening Avian Influenza Detection and Response) has been a reliable, timely English-language source of H5N1 information in Egypt.  It's a gem!

[ Parent ]
63 new cases of swine flu virus
20/Nov/09

Laboratories have confirmed the central Ministry of Health yesterday injuring 63 cases of new HIV pandemic H1N1, known by bird pigs, raising the number of people living in Egypt to 2846, while 2735 was a healing situation, and still under treatment, 103 cases. Dr Abdul Rahman Shaheen spokesman for the Ministry of Health that among the 32 cases of new infections in schools, in Cairo, Giza, Helwan, 6 October, and Alexandria, and the lake, and Suez , Beni Suef, Sohag, bringing the number of cases in schools to 1063, and there are 7 new cases yesterday in Cairo, Giza, Helwan and Alexandria, bringing the number of cases to 119.

In the closing chapter in Suez decides Franciscan primary school, the presence of positive cases between one student, was to take preventive action with her colleagues.

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WHO: Avian influenza - update 24
http://www.who.int/csr/don/200...

20 November 2009 -- The Ministry of Health of Egypt has reported a new confirmed human case of avian influenza A(H5N1).

The case is a 21 year-old male from Sedy Beshir District, Alexandria Governorate. His symptoms started on 11 November. He was admitted to Maamoura Chest Hospital on 15 November, where he received oseltamivir treatment. The patient is in a stable condition.

Investigations into the source of infection indicated that the case had close contact with dead and/or sick poultry and was involved in slaughtering sick birds.

The cases were confirmed by the Egyptian Central Public Health Laboratories.

Of the 88 cases confirmed to date in Egypt, 27 have been fatal.  


H5N1 in birds (through Nov. 18)
http://www.saidr.org/en/animal...

Date of result: 18 November 2009
Date of sampling: 17 November 2009
Governorate: Dakahlia
District: Tomay el Amdid
Village: El Fath el Gedida
Type of rearing: Household
Species: Mixed (chickens, ducks, geese)
Number of birds: 37
Vaccination status: Unvaccinated
Comments: The outbreak exhibits progressive mortality, clear signs of cyanosis of the head and wattles in chicken, and nervous manifestations in ducks in many households in the village. Signs of an outbreak were first observed two weeks earlier. There was a massive spread of the infection in majority of houses. The source of infection was ducks provided as a gift from Kom el Khalig village, Mansoura district, Dakahlia.

Date of result: 18 November 2009
Date of sampling: 17 November 2009
Governorate: Dakahlia
District: Talkha
Village: Gogar
Type of rearing: Household
Species: Mixed (chickens, ducks)
Number of birds: 32
Vaccination status: Unvaccinated
Comments: Massive spread of the infection in majority of houses with open rooftops and scavenging birds; houses with closed system of breeding had no problems. History of illness among egrets and cats were mentioned by the families. Source of infection is unknown.

Date of result: 17 November 2009
Date of sampling: 16 November 2009
Governorate: Menoufiya
District: Menouf
Village: Sedoud
Type of rearing: Household
Species: Mixed (chickens, ducks)
Number of birds: Not reported
Vaccination status: Unvaccinated
Comments: The outbreak was limited to a few houses, mainly in scavenging poultry. The source of infection was determined to be young grower Peking ducks bought from a nursery farm via peddlers.

Date of result: 12 November 2009
Date of sampling: 8 November 2009
Governorate: Menoufiya
District: Ashmoun
Village: Talia
Type of rearing: Household
Species: Mixed (chickens, ducks, geese)
Number of birds: 36
Vaccination status: Unvaccinated
Comments: The outbreak exhibits progressive mortality, clear signs of cyanosis of head and wattles in chicken, and nervous manifestations in ducks in many households in the village. Signs of an outbreak were first observed two weeks earlier. Two infection sources were identified: young grower chicks from a nursery purchased through a peddler, and ducks bought from a live bird market for a wedding party.


confirmation of 10th death, 140 in hospitals with H1N1
23 November 2009
hat tip josepth_Roehl_kiwiamerican

CAIRO:
The Ministry of Health announced the 10th swine flu death in a 48-year-old woman from Shubra Monday.
The patient was admitted to Sadr Hospital in Abbassiya on Nov. 19 suffering from pneumonia and had difficulty breathing. She tested positive for H1N1, Abdel Rahman Shahin, official spokesperson for the Ministry of Health, said.

She was also suffering from chronic diseases including obesity, diabetes and a relatively high blood pressure, he added.

Forty-seven new cases of swine flu were reported, bringing the total number of people infected with H1N1 in Egypt to 3,060, according to the health ministry's latest press statement.

Out of the 47 new cases, 25 cases were found in schools around the country.
The total number of swine flu cases of school students since the beginning of the academic year last October reached 1,156 cases.

...In addition, 11 of the 47 newly reported cases were found in Cairo, Ain Shams and Alexandria Universities Monday. The total number of swine flu cases found in universities so far reached 149 cases.
The number of recovered cases in Egypt is 2,910, while 140 cases are still undergoing treatment in hospitals.
On the other hand, Minister of Social Solidarity, Aly Moselhy, who is the head of the Egyptian Pilgrimage Delegation this year, said that no swine flu cases were reported so far among Egyptian pilgrims.

There have been eight deaths among the Egyptian pilgrimage delegation so far, but none of them was related to swine flu.

http://www.zawya.com/Story.cfm...

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Avian influenza - situation in Egypt - update 25
Hat-tip to Joseph_Roehl_kiwiamerican

http://vaccinenewsdaily.com/ne...
http://www.who.int/csr/don/200...

27 November 2009 -- The Ministry of Health of Egypt has reported a new confirmed human case of avian influenza A(H5N1).

The case is a 3 year-old male from Minia Governorate. His symptoms started on 21 November 2009.

He was admitted to hospital on 22 November and his condition is stable. Investigations into the source of infection indicated that the case had close contact with dead and/or sick poultry.

The cases were confirmed by the Egyptian Central Public Health Laboratories.

Of the 89 cases confirmed to date in Egypt, 27 have been fatal.  


H5N1 in birds (Nov. 24)
http://www.saidr.org/en/animal...

Date of result: 24 November 2009
Date of sampling: 23 November 2009
Governorate: Fayoum
District: Senouris
Village: Sanhour el Baharia
Type of rearing: Household
Species: Chicken
Number of birds: 40
Vaccination status: Unvaccinated
Comments: The village is 500 meters from Lake Qaroun, and the domestic poultry has regular contact with migratory ducks. The outbreak started six months ago and was still circulating among the households around the time of sampling.
Three weeks ago, the household had sudden deaths with 100 percent mortality associated with cyanosis in comb and wattles for 200 layer chickens. After cleaning and decontamination, the household introduced new 40 young grower chickens bought from a nursery farm via peddler: Three days after introducing new chickens, mortalities started again with cyanosis in comb and wattles. The source of the outbreak is unknown. The newly purchased chickens may have been bought infected from the nursery farm, or may have contracted the infection at the household after contact with contaminated matter from the layer chickens that died in the earlier episode.
----------------------------------------------------------

Date of result: 24 November 2009
Date of sampling: 23 November 2009
Governorate: Fayoum
District: Etsa
Village: Ahrit
Type of rearing: Household
Species: Mixed (chickens, ducks)
Number of birds: 14
Vaccination status: Unvaccinated


Egypt announces death No. 21 swine flu of a young man from Helwan
11/29/2009 1:50:00 PM
Cairo - Editor  The Ministry of Health Sunday for No. 21 fatal virus, "said the 1 H-1" world-renowned swine flu.

According to a statement issued to the Ministry in this regard that the death was the new 28-year-old man from Helwan income Abbasid Fever Hospital on Nov. 24 suffering from respiratory disease and severe difficulty in breathing and was placed on a respirator.

The statement added that the patient was suffering from obesity and excessive tumor on the thyroid Alkrzip.

According to the latest WHO data, the disease has spread so far in more than 207 countries, while the number of confirmed cases of more than 622 thousand cases, while the number of deaths to the 7826 case.

The organization said that more than 1000 cases and deaths from the virus last week officially registered a sharp increase, mostly in the Americas region, which was their share of more than half of the deaths that have occurred recently.

Egypt reported its first death disease on July 19, and the disease has emerged in the country in the first of June.

Egypt is concerned, which lost much of its wealth of birds and poultry have been a number of deaths due to bird flu virus to the spread of new influenza virus rapidly in the country, which are crammed most of the population, numbering about 77 million people in the narrow Nile Valley and millions of them live in crowded slums.

Source: Middle East News Agency, Masrawy

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