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Avian influenza - situation in Egypt - update 15
15.05.2009 - WHO

The Ministry of Health of Egypt has reported a new confirmed human case of avian influenza. The case is a 5-year old female from Tama District, Sohag Governorate. Her symptoms began on 7 May and she was admitted in Sohag Fever Hospital on 9 May where she received oseltamivir. She is in a stable condition. The case was confirmed by the Egyptian Central Public Health Laboratories on 10 May 2009. Investigations into the source of infection indicate close contact with dead and sick poultry. The Ministry of Health of Egypt has announced the deaths of previously confirmed cases of H5N1 as follows:

6-year-old male from Qaliobia Governorate;
33-year-old female from Kfr El Sheikh Governorate
25-year-old female from Cairo Governorate

Of the 69 cases confirmed to date in Egypt, 26 have been fatal.

AVIAN INFLUENZA, HUMAN (90): EGYPT (GHARBIA), 71ST CASE
*******************************************************
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<http://www.isid.org>

Date: Sun 17 May 2009
Source: Strengthening Avian Influenza Detection & Response (SAIDR) [edited]
<http://www.saidr.org/en/humans.php#150509>


Avian A (H5N1) influenza in Mahaila district, Gharbia governorate
-----------------------------------------------------------------
A boy, age 3, began experiencing fever and runny nose on 12 May 2009.
He was admitted to Mahalla Fever Hospital on Fri 15 May 2009.
Infection with avian influenza was confirmed on 15 May [2009]. His
family reported a contact with sick poultry. He was reported in good
general condition on Sun 17 May [2009] and was to be transferred to
El Bakry Hospital in Cairo that day.

The MOHP reported this was the 71st case of highly pathogenic avian
influenza in Egypt.

(Source of report: Amr Kandeel, Undersecretary for preventative
affairs, MOHP [Ministry of Health and Population], Samir Refaie, head
of Epidemiology and Surveillance Unit, MOHP)

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[Gharbia (no. 10) can be located in the map of the governorates of Egypt at
<http://en.wikipedia.org/wiki/Governorates_of_Egypt>.
The HealthMap/ProMED-mail interactive map of Egypt is available at
<http://healthmap.org/r/00cq>.
A map showing the locations of all avian influenza cases since April
2008 up to the present can be obtained by accessing the SAIDR website
at the URL above. - Mod.CP]

AVIAN INFLUENZA, HUMAN (91): EGYPT: (DAKAHLIA) 72ND CASE, 27TH DEATH
**************************************************************
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[1]
Date: Mon 18 May 2009
Source: Strengthening Avian Influenza Detection & Response (SAIDR) [edited]
<http://www.saidr.org/en/humans.php>


Death of 4-year-old in Meet Ghamr District of Dakahlia Governorate
------------------------------------------------------------------
A girl, age 4, began experiencing symptoms on 9 May 2009. She was
admitted to Mansoura Chest Hospital with pneumonia on 17 May 2009.
Infection with avian influenza was confirmed on 18 May 2009. A
history of close contact with sick poultry was reported. The girl
died on 18 May 2009. The MOH [Ministry of Health] reported this was
the 72nd case of highly pathogenic avian influenza [H5N1] in Egypt.

[Source of report: Amr Kandeel, undersecretary for preventative
affairs, MOH; Samir Refaie, head of Epidemiology and Surveillance Unit, MOH]

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

******
[2]
Date: Tue 19 May 2009
Source: Egyptian Chronicles [edited]
<http://egyptianchronicles.blogspot.com/ ... -no27.html>


H5N1 human death no. 27
-----------------------
The health ministry has announced the death of a 4-year-old child
from Dakahlia Governorate because of H5N1. She is no. 27 in our H5N1
death toll. The girl began to suffer from the symptoms on the 9 May
2009 but she only entered hospital on 17 May 2009. She was confirmed
as H5N1 positive [on 18 May 2009]. She has passed away later.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[These reports announce the death of a 4-year-old girl, the 72nd case
of avian A (H5N1) influenza in Egypt, who has become the 27th fatality.

Dakahlia Governorate (no. 7) can be located in the map of the
governorates of Egypt at <http://en.wikipedia.org/wiki/Governorates_of_Egypt>.
The HealthMap/ProMED-mail interactive map of Egypt is available at
<http://healthmap.org/r/00cA>.

A map showing the locations of all human cases of avian influenza
since April 2008 up to the present can be viewed at
<http://www.saidr.org/en/map.php>. - Mod.CP]

AVIAN INFLUENZA, HUMAN (92): EGYPT (DAKAHLIA) 73RD CASE, (SOHAG) 74TH CASE
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[1]
Date: Wed 20 May 2009
Source: Strengthening Avian Influenza Detection & Response (SAIDR) [edited]
<http://www.saidr.org/en/humans.php>


Recent cases
------------
Governorate: Sohag, District: Sohag, 74th case
----------------------------------------------
A boy, age 3.5, began experiencing symptoms of fever and cough on 17
May 2009. He was admitted to Sohag Chest Hospital on 18 May 2009.
Infection with avian influenza was confirmed 20 May 2009. A history
of close contact with dead and sick poultry was reported. He was
reported in stable condition on 20 May 2009 and referred to Manshiyet
El Bakry Hospital in Cairo. The MOH reported this was the 74th case
of highly pathogenic avian influenza in Egypt.

[Source of report: Amr Kandeel, Undersecretary for preventative
affairs, MOH, Samir Refaie, Head of Epidemiology and Surveillance Unit, MOH]

Governorate: Dakahlia, District: Sherbin, (73rd case)
-----------------------------------------------------
A boy, age 4, began experiencing fever on 18 May 2009. He was
admitted to Mansoura Chest Hospital on 18 May 2009. Infection with
avian influenza was confirmed 20 May 2009. A history of close contact
with dead and sick poultry was reported. He was reported in a good
general condition on 20 May 2009 and referred to Manshiyet El Bakry
Hospital in Cairo. The MOH reported this was the 73rd case of highly
pathogenic avian influenza in Egypt.

[Source of report: Amr Kandeel, Undersecretary for preventative
affairs, MOH, Samir Refaie, Head of Epidemiology and Surveillance Unit, MOH]

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

******
[2]
Date: Wed 20 May 2009
Source: Reuters News [edited]
<http://www.reuters.com/article/middleea ... USLK285452>


Two Egyptian boys contract bird flu
-----------------------------------
Two Egyptian boys have contracted the highly pathogenic H5N1 bird flu
virus, bringing the total number of cases in the most populous Arab
country to 74, state news agency MENA said on Wednesday [20 May 2009].

Egypt, hit harder by bird flu than any other country outside Asia,
has seen a surge in cases in recent weeks with 14 new human
infections and 4 deaths reported since 1 April 2009 -- more than the
country saw in all of 2008.

The children -- a 4-year-old boy from [Dakahlia] in the Nile Delta
and a 3-year-old boy from Sohag in the south -- were admitted to
hospital with high fever and were in a stable condition after being
treated with Tamiflu, MENA reported. It quoted a health ministry
spokesman as saying that both boys had been in contact with birds
suspected of being infected with the disease.

The new infections came just days after a 4-year-old girl died of the
virus on Monday [18 May 2009]. Overall, 27 Egyptians have died after
contracting the virus. Most Egyptians who contracted the disease fell
ill after coming 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.

[Byline: Alastair Sharp]

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[The SAIDR report (<http://www.saidr.org/en/humans.php>) lists all
human cases of avian A (H5N1) influenza recorded in Egypt since the
end of 2008 up to the present. In addition a map is provided showing
the locations of each case.

A map of the governorates of Egypt can be accessed at
<http://en.wikipedia.org/wiki/Governorates_of_Egypt>, and the
HealthMap/ProMED-mail interactive map of Egypt is available at
<http://healthmap.org/r/008F>. - Mod.CP]

Avian influenza - situation in Egypt - update 16
22.05.2009 - WHO

Between 13 to 20 May, the Ministry of Health of Egypt reported five new confirmed human case of avian influenza. The first case is a 4-year old boy from Kafr Sakr District, Sharkia Governorate. His symptoms began on 10 May 2009 and he was admitted to Zagazig Fever Hospital on 11 May. He is in a stable condition. The second case is a 3-year old boy from Mahalla District, Gharbia Governorate. His symptoms began on 12 May and he was admitted to Mahalla Fever Hospital on 15 May 2009. He is in a stable condition. The third case was a 4-year old girl from Meet Ghamr District, Dakahlia Governorate. Her symptoms began on 9 May 2009 and she was admitted to Mansoura Chest Hospital on 17 May 2009. She died on 18 May 2009. The fourth case is a 4-year old boy from Sherbin District, Dakahlia Governorate. His symptoms began on 18 May 2009 and he was admitted to Mansoura Chest Hospital on the same day. He is in a stable condition. The fifth case is a 3-year old boy from Sohag District, Sohag Governorate. His symptoms began on 17 May 2009 and he was admitted to Sohag Fever Hospital on 18 May 2009. He is in a stable condition.

Investigations into the source of infection indicated that all the above cases had close contact with dead and sick poultry. All five cases have been confirmed by the Egyptian Central Public Health Laboratory. Of the 74 cases confirmed to date in Egypt, 27 have been fatal.

AVIAN INFLUENZA, HUMAN (95): EGYPT (SHARKIYA), 75TH AND 76TH CASES
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Date: Tue 26 May 2009
Source: Thomson Reuters Foundation AlertNet [edited]
<http://www.alertnet.org/thenews/newsdesk/LQ472010.htm>


Two Egyptian children have H5N1 bird flu
----------------------------------------
Two 4 year old Egyptian children have contracted the highly pathogenic H5N1
bird flu virus, raising to 76 the number of cases reported in Egypt, the
state news agency MENA reported on Tuesday [26 May 2009].

Egypt has been hit harder by bird flu than any other country outside Asia
and has seen a surge of cases in recent weeks. The children, a boy and
girl, were from different areas of Sharkiya province in the Nile Delta
region. Both fell ill after coming into contact with birds with the virus.

The avian [A (H5N1) influenza] virus rarely infects people, but experts say
they fear it could mutate into a form that humans could easily pass to one
another, sparking a pandemic. Most of those infected have previously been
in contact with infected domestic birds in a country where 5 million
households raise poultry as a significant source of food and income.

Since 2003, the H5N1 virus has infected more than 400 [429 as of 22 May
2009] people in 15 countries and killed more than 250 [262 as of 22 May
2009]. It has killed or forced the culling of more than 300 million birds
in 61 countries in Asia, the Middle East, Africa, and Europe.

[byline: Edmund Blair]

--
communicated by:
ProMED-mail rapporteur Mary Marshall

[A map of the governorates of Egypt showing the location of Sharkiya
governorate (at no. 23) can be accessed at
<http://en.wikipedia.org/wiki/Governorates_of_Egypt>. The
HealthMap/ProMED-mail interactive map of Egypt is available at
<http://healthmap.org/r/00de>. - Mod.CP]

Avian influenza - situation in Egypt - update 17
28.05.2009 - WHO

The Ministry of Health of Egypt has reported two new confirmed human cases of avian influenza on 26 May 2009. The two cases are from two separate districts of Sharkia Governorate. The first case is a 4-year old male from Hehia City, Hehia District. His symptoms began with fever on 24 May 2009. The second case is a 4-year old female from Abo Hammad District. Her symptoms began with fever on 23 May 2009. Both cases were admitted to Zagazig Fever Hospital where they received oseltamivir and are in a stable condition. Investigations into the source of infection indicated that the above two cases had close contact with dead and sick poultry. Both cases were confirmed by the Egyptian Central Public Health Laboratories on 26 May 2009.

Of the 76 cases confirmed to date in Egypt, 27 have been fatal.

AVIAN INFLUENZA, HUMAN (97): EGYPT, 77TH CASE
*********************************************
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[1]
Date: Sat 30 May 2009
Source: Kuna News Agency [edited]
<http://www.kuna.net.kw/NewsAgenciesPubl ... anguage=en>


The Egyptian Health Ministry confirmed on Saturday [30 May 2009] the 77th
infection with H5N1 virus. A baby girl, aged 14 months, contracted the
highly pathogenic [avian A (H5N1) influenza] virus because she was in
contact with domestic birds in a village located in Daqahliya, north Cairo,
the ministry's spokesman Dr Abdulrahman Shahin said in a press briefing.

The baby was hospitalized 5 days ago suffering from bird-flu-like symptoms
including high temperature, running nose, and respiratory disorder. She was
diagnosed as H5N1-positive, so she has been treated with the antiviral drug
Tamiflu [oseltamivir], Dr Shahin revealed. The patient is being relocated
to Manshiyat Al-Bakri Hospital, Cairo for further medication, he added.

The case pushed to 77 Egypt's national tally of the fatal disease, with the
death toll amounting to 27 since the outbreak of the highly contagious
virus in February 2006. The National Higher Commission against Bird Flu has
adopted a new preventive methodology to control the spread of H5N1, a
subtype of the influenza A virus commonly known as bird flu, which can
cause illness in humans. The methodology involves the medical and municipal
authorities as well as the mass media.

--
communicated by:
ProMED-mail rapporteur Mary Marshall

******
[2]
Date: Sat 30 May 2009
Source: SAIDR [edited]
<http://www.saidr.org/en/humans.php#300509>


A girl, 14 months old, began experiencing fever, runny nose and cough on 25
May 2009. She was admitted to Mansoura Chest Hospital on 29 May 2009.
Infection with avian influenza was confirmed 30 May 2009. Her mother
reported that the child was in close contact with her during slaughtering
and de-feathering of poultry. The child was reported in stable condition 30
May 2009; her chest x-ray was [clear]. She was to be referred on 30 May
2009 to Manshiyet El Bakry Hospital in Cairo.

The MOH reported that this was the 77th case of highly pathogenic avian
influenza in Egypt.

--
communicated by:
ProMED-mail rapporteur Mary Marshall

[The SAIDR report is accompanied by a map of Egypt showing the location of
all human cases of avian A (H5N1) in Egypt since the resurgence of the
disease in late 2008. - Mod.CP]

Avian influenza - situation in Egypt - update 18
01.06.2009 - WHO

The Ministry of Health of Egypt has reported a new confirmed human case of avian influenza. The case is a 14-month old girl from Dekernes District, Dkhalia Governorate. Her symptoms began on 25 May 2009. She was admitted to Mansoura Chest Hospital on 29 May where she received oseltamivir and is in a stable condition. Investigations into the source of infection indicated that she had close contact with dead and sick poultry. The case was confirmed by the Egyptian Central Public Health Laboratories.

Of the 77 cases confirmed to date in Egypt, 27 have been fatal.

Avian influenza - situation in Egypt - update 19
WHO - 02.06.2009

The Ministry of Health of Egypt has reported a new confirmed human case of avian influenza A/H5N1 on 01 June 2009. The case is a 4-year old female child from the Kefr El Sheikh District of Kefr El Sheikh Governorate. Her symptoms started on 30 May 2009 with fever, cough and sore throat. She was admitted to Kefr El Sheikh Fever Hospital on 31 May 2009. The patient received oseltamivir and is in a stable condition. Investigations into the source of infection indicated that she had close contact with dead and sick poultry. The case was confirmed by the Egyptian Central Public Health Laboratories.

Of the 78 cases confirmed to date in Egypt, 27 have been fatal.

Ägypten - Vogelgrippe
02.06.2009

Seit ihrem Erstauftritt im Februar 2006 sind der hochpathogenen Vogelgrippe durch Influenza A(H5N1) landesweit mehr als 34 Millionen Tiere zum Opfer gefallen. Von den Ausbrüchen betroffen waren 9 Provinzen, die meisten im dichter besiedelten Norden. Insgesamt wurden 77 menschliche Erkrankungen (davon 26 aus 2009) mit 27 Todesfällen bestätigt. Bei den meisten Betroffenen ließen sich unmittelbare Kontakte zu kranken Tieren nachweisen. / Quelle: crm

AVIAN INFLUENZA, HUMAN (99): EGYPT (KAFR EL-SHEIKH) 78TH CASE
*************************************************************
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ProMED-mail is a program of the
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Date: Tue 2 Jun 2009
Source: RIA (Russian News & Information Agency) Novosti [edited]
<http://en.rian.ru/world/20090602/155144252.html>


Egyptian child contracts bird flu, 39 suspected cases reported
--------------------------------------------------------------
A child has been diagnosed with bird flu in Egypt and another 39
people have been hospitalized with suspected infections, a spokesman
for the country's health ministry said on Tuesday [2 Jun 2009].

A 4-year-old girl from the northern Egyptian province of Kafr
el-Sheikh is currently in stable condition and is being treated with
antiviral drugs.

Egypt's 1st case of bird flu was recorded in 2006. Since then, 78
people are known to have contracted the H5N1 virus in the country,
and at least 27 have died.

According to World Health Organization data, a total of 262 people
have died worldwide since bird flu was first discovered in 2003.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[This case if confirmed will be the 78th human case of avian A (H5N1)
influenza virus infection recorded in Egypt. The status of the 39
suspected cases is problematic. Further information is awaited.

The governorate of Kafr El-Sheikh is located at no. 13 in the map of
the governorates of Egypt at
<http://en.wikipedia.org/wiki/Governorates_of_Egypt>.
The HealthMap/ProMED-mail interactive map of Egypt is available at
<http://healthmap.org/r/009S>. - Mod.CP]

AVIAN INFLUENZA, HUMAN (101): EGYPT, 79TH, 80TH CASES
*****************************************************
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Date: Mon 8 Jun 2009
Source: Egyptian Chronicles [edited]
<http://egyptianchronicles.blogspot.com/ ... -no80.html>


H5N1 follow up: 80th case
-------------------------
The ministry of health has announced that a 4-year-old girl has been
infected by H5N1 [influenza virus]. She is no. 80 in our H5N1
infection toll. She is from a village in Dakahlia Governorate "Delta."

She began to suffer the symptoms on 5 Jun [2009] and entered Saturday
[6 Jun 2009] in the Mansoura fever hospital. She was given Tamiflu
and her condition is stable. She will be transferred to Manshiat
El-Bakery hospital soon.

--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[The 79th case, a 17-month-old boy in Damietta Governorate, was
reported on 5 Jun 2009, in the Egyptian Chronicles
(<http://egyptianchronicles.blogspot.com/ ... -no79.html>).
He was hospitalized at the time of the report. - CopyEd.MJ/Mod.TY]

[Maps showing the location of the Dakahlia Governorate in
northeastern Egypt, Nile Delta, can be accessed at
<http://en.wikipedia.org/wiki/Dakahlia_Governorate> and
<http://healthmap.org/r/00cA>.
The neighboring Damietta Governorate can be located on the maps at
<http://en.wikipedia.org/wiki/Damietta_Governorate> and
<http://healthmap.org/r/00tw>. - Mod.TY]

Avian influenza - situation in Egypt - update 20
01.07.2009 - WHO

The Ministry of Health of Egypt has reported 3 new confirmed human case of avian influenza A(H5N1). The first case is a 1-year old male from Domiat Governorate. His symptoms started on 1 June 2009. He was admitted to hospital on 2 June, where he received oseltamivir treatment. The patient has recovered and was discharged on 9 June. The second case is a 4-year old female from Dakhlia Governorate. Her symptoms started on 5 June 2009. She was admitted to hospital on 6 June, where she received oseltamivir treatment. The patient has recovered and was discharged on 14 June. The third case is a 1-year old male from Kaleen District, Kefr El Sheikh Governorate. His symptoms started on 15 June 2009. He was admitted to Kefr El Sheikh Fever Hospital on 16 June 2009, where he received oseltamivir treatment, and is in a stable condition. Investigations into the source of infection indicated that all three cases had close contact with dead and/or sick poultry. The cases were confirmed by the Egyptian Central Public Health Laboratories.

Of the 81 cases confirmed to date in Egypt, 27 have been fatal.

Hallo,
ich glaube, daß in Sachen Vogelgrippe wieder "Maulkorb" herrscht!
Nur keine Panikmache!
Wir haben Mitte Januar 2009 am Bogoria-See/Kenia auf einem Seeufer-Abschnitt von 100 m insgesamt ca. 180 Flamingo-Kadaver gezählt!

In den letzten gut 20 Mal (jedes Jahr zwei Mal) am gleichen Platz, haben wir eine derartige Anzahl an toten Vögeln nicht wahrgenommen.
Hyänen, Adler und Marabus holen sich schon hin und wieder den einen oder anderen Flamingos.
Die hohe Anzahl der toten Vögel war dieses Jahr erschreckend!
In den Zeitungen in Nairobi habe ich davon nichts gelesen!
Mit Gruß
dietmar