WHO Avian influenza - situation in Egypt - update 51

21 April 2011 - On 16 April 2011, the Ministry of Health of Egypt notified WHO of two new cases of human infection with avian influenza A (H5N1) virus.

The first case was a 29 years-old male from Fayoum Governorate Wadi Elrian area who developed symptoms on 1 April , was hospitalized on 4 April and died on 7 April.

The second case was a one -and-a -half year-old male child from Fayoum Governorate, Sennores District who developed symptoms on 9 April and was hospitalized on 11 April. He is under treatment and is in stable condition.

All the cases received oseltamivir treatment at the time of hospitalization.

Investigations into the source of infection indicate that both the cases had exposure to sick and/or dead poultry suspected to have avian influenza. There is no epidemiological link identified between these two cases.

The cases were confirmed by the Egyptian Central Public Health Laboratories, a National Influenza Center of the WHO Global Influenza Surveillance Network.

Of the 143 cases confirmed to date in Egypt, 47 have been fatal .

WHO Avian influenza – situation in Cambodia - update 3

21 April 2011 - The Ministry of Health (MoH) of the Kingdom of Cambodia has announced a confirmed case of human infection with avian influenza A(H5N1) virus.

The case was a 5 year old girl from Pea Raing district, Prey Veng Province. She developed symptoms on 11 April, was initially treated by local private practitioners with no effect and was later admitted to Kantha Bopha Children Hospital on 13 April. Despite all intensive care, she died on 16 April, four days after admission.

There have been reports of poultry die off in her village. The girl is the fifteenth person in Cambodia to become infected with the H5N1 virus and the thirteenth to die from complications of the disease. All five cases of H5N1 infections in humans in Cambodia this year have been fatal.

Specimens from 53 contacts of the cases were collected and are being tested by the National Institute for Public Health laboratory.

A new death in Cambodia...H5N1 Confirmed

A little 5 year old daughter died of bird flu in Cambodia, bringing to five the number of deaths from this disease in the country since the beginning of the year.
The child in the province of Prey Veng (southeast), died April 16, said Thursday the Department of Health and the World Health Organization (WHO

WHO confirms 5 H5N1 cases in Egypt, Bangladesh

Jim Wappes Editorial Director

Apr 11, 2011 (CIDRAP News) – The World Health Organization (WHO) today confirmed four new H5N1 avian flu cases in Egypt—including a fatality—and one nonfatal case in Bangladesh.

The cases raise Egypt's H5N1 case total this year to 22 and Bangladesh's to 2. In addition, the WHO posted an official notice on its Web site today of a Cambodia case that it had jointly confirmed with Cambodia's Ministry of Health last week.

4 Egyptian cases, 1 death
The WHO revealed this information on the four Egyptian case-patients:

• A 20-year-old woman from Beheira governorate fell ill Mar 14 and was hospitalized Mar 19. She was listed in critical condition and died Mar 28.
• A 2-year-old girl from Menoufia governorate had symptoms Mar 26 and was hospitalized Mar 27. She is listed in stable condition and still under treatment.
• A 55-year-old woman from Beheira governorate first experienced symptoms Mar 20 and was hospitalized Mar 22. She recovered and was discharged Apr 5, according to the report.
• A 1-year-old boy from Fayoum governorate first had symptoms Mar 20 and was hospitalized Mar 28. He is still under treatment in stable condition.

Source investigations revealed that all had exposure to sick or dead poultry suspected to have avian influenza, according to the WHO report. In addition, all four had received oseltamivr (Tamiflu) in the hospital.

In the past 2 weeks the WHO has confirmed 11 Egyptian cases, including 2 fatalities. Five of those 11 patients have been from Beheira governorate.

Of the 22 H5N1 cases this year in Egypt, 6 have been fatal. Since 2006 the country has logged 141 WHO-confirmed H5N1 cases and 46 deaths, second only to Indonesia (176) in total cases and third to Indonesia (145) and Vietnam (59) in fatal cases.

Bangladesh's 2nd case in 2011
The WHO also reported that Bangladesh's Ministry of Health and Family Welfare has confirmed the country's second H5N1 case this year, in a 2-year-old boy from Kamalapur, Dhaka.

He experienced avian-flu symptoms Mar 1 and visited the country's influenza sentinel surveillance site on Mar 9, where samples were obtained. The country's Institute of Epidemiology, Disease Control and Research confirmed H5N1 in the samples.

A detailed investigation revealed exposure to sick poultry but no other cases.

The WHO confirmed Bangladesh's previous case, in a 16-month-old girl, on Mar 16, the same day that the 2-year-old's now-confirmed infection was reported in the media. Today's WHO report states, "Although the case is from the same locality as the previous case they had no direct contact with each other."

Bangladesh's only other H5N1 case was confirmed in 2008. It, too, was nonfatal.

Cambodia's latest case logged
In a third report released today, the WHO verified, as reported in the media Apr 6, that Cambodia's Ministry of Health in conjunction with the WHO has confirmed a fatal H5N1 case in an 11-year-old girl in the Steung Trang district of Kampong Cham Province.

She first experienced symptoms Mar 22 and was first treated by local villagers before being admitted to a local hospital Mar 29. Upon treatment failure she was transferred to a regional hospital Mar 31, where she died the same day.

The report did not specify her treatment but said all contacts with the girl have tested negative for H5N1 infection.

Hers is the fourth H5N1 case in Cambodia this year, and all have proved fatal. Since 2005 the country has confirmed 14 H5N1 cases, including 12 deaths.

With the additional cases, the global H5N1 count has reached 549 cases and 320 deaths. Thirty-three of those cases and 14 of the deaths came this year.

See also:

Apr 11 WHO Egyptian report

Apr 11 WHO Bangladeshi report

Apr 11 WHO Cambodian report

WHO global H5N1 case count

WHO: Countries agree to share flu virus samples after 4 years of talks

By The Associated Press
GENEVA — The World Health Organization says countries have agreed on a deal to share flu virus samples after almost four years of fractious talks on the issue.

[click on title for full article]

WHO Avian influenza - situation in Egypt - update 50

11 April 2011 - The Ministry of Health of Egypt has announced four new confirmed cases of human infection with avian influenza A(H5N1) virus.

The first case is a 20 years old female from Behaira Governorate. She developed symptoms on 14 March and was hospitalized on 19 March. She was in a critical condition and died on 28 March.

The second case is a two years old female from Menofeya Governorate. She developed symptoms on 26 March and was hospitalized on 27 March. She is still under treatment and in a stable condition.

The third case is a 55 year old female from Behaira Governorate. She developed symptoms on 20 March and was hospitalized on 22 March. She recovered and was discharged on 5 April.

The fourth case is a 1 year old male from Fayoum Governorate He developed symptoms on 20 March and was hospitalized on 28 March. He is still under treatment and in a stable condition.

All the cases received oseltamivir treatment at the time of hospitalization.

Investigations into the source of infection indicate that the cases had exposure to sick and/or dead poultry suspected to have avian influenza.

The cases were confirmed by the Egyptian Central Public Health Laboratories, a National Influenza Center of the WHO Global Influenza Surveillance Network.

Of the 141 cases confirmed to date in Egypt, 46 have been fatal

China bird flu virus detected in poultry farms, health monitoring of personnel have been called for the livestock industry to enhance personal health

Source: Public Relations Office of Public Relations Date: 2011/4/13 H7N3 detected in domestic poultry farms for bird flu, disease Control Board to ensure people's health, has conducted health-related personnel and the prevention and treatment visits, there are no workers have health exception, but still ongoing work related to staff health monitoring . One after another recently detected in domestic poultry farms such as H5N2 and H7N3 avian influenza virus, coupled with numerous reports of human H5N1 influenza international sporadic cases of avian flu pandemic risk still exists

More birds destroyed in Bangladesh

Gazipur, Apr 13 (bdnwews24.com)
—A total of 17,279 poultry birds of a farm have been culled and 4,298 eggs destroyed at Gajaria in Sreepur upazila following the detection of bird flu infection. Upazila livestock officer A K M Ataur Rahman told bdnews24.com that the culling and dumping drive at Ferdous Poultry Farm began on Wednesday morning after the samples of the dead chickens were found H5N1-positive in a lab test on Tuesday.

Egypt Analysis

Previously posted here

His Chest Hospital Damanhour Lady of the Mahmudiyah claims Nihad Bassiouni Mahmoud housewife infected with symptoms of bird flu with fever - cough - sore throat - muscle pain and difficulty breathing Vtm isolated and took a sample and sent to central laboratories for analysis, which reported positive sample and the injury of Mrs. disease. The hospital received 3 cases infected with the disease during the past two weeks.

I believe the cases referred to above are these, reported by WHO:

Confirmed #128

Name: 17 yo female

From: Behira Gov.

Adm: 3/1

Onset: 2/27

Notes: Stable condition. WHO Update #46

Confirmed #133

Name: 4 yo female

From: Behira Gov.

Adm: 3/7

Onset: 3/5

Notes: Recovered & discharged. WHO Update #48.

Confirmed #134

Name: 1 yo male

From: Behira Gov.

Adm: 2/16

Onset: 2/14

Notes: Discharged 2/22. WHO Update #49.

Confirmed #135

Name: 3 yo female

From: Behaira Gov.

Adm: 3/12

Onset: 3/10

Notes: Discharged 3/18. WHO Update #49

(WHO note: The previous two cases are from the same district but different villages and they are not relatives)

WHO Avian influenza - situation in Egypt - update 49

[WHO Update #48 just came out on April 2nd, with 3 confirmed.]

6 April 2011 - The Ministry of Health of Egypt has announced four new confirmed cases of human infection with avian influenza A(H5N1) virus.

The first case is a one year old male from Behaira Governorate. He developed symptoms on 14 February, was hospitalized on 16 February. He recovered and was discharged on 22 February.

The second case is a three years old female from Behaira Governorate. She developed symptoms on 10 March, was hospitalized on 12 March. She recovered and was discharged on 18 March. The previous two cases are from the same district but different villages and they are not relatives.

The third case a 34 year old female from Alexandria Governorate. She developed symptoms on 9 March and was hospitalized on 15th March. She is still under treatment in a stable condition.

The fourth case is a 30 years old female from Kafr El-Shaikh Governorate. She developed symptoms on 7 March and was hospitalized on 15 March. She recovered and was discharged on 27 March.

Investigations into the source of infection indicate that all cases had exposure to sick and/or dead poultry suspected to have avian influenza.

The cases were confirmed by the Egyptian Central Public Health Laboratories, a National Influenza Center of the WHO Global Influenza Surveillance Network.

Of the 137 cases confirmed to date in Egypt, 45 have been fatal.

Cambodian girl dies of H5N1

2011-04-06 20:03:57

PHNOM PENH, April 6 (Xinhua) -- Cambodia's Ministry of Health and the World Health Organization announced Wednesday that an 11- year old girl from the eastern province of Kompong Cham has died of avian influenza H5N1.

A joint statement sent to the media said the 11-year old girl from Kbal Au Village, Steung Trang District, Kompong Cham province died on March 31 as a result of respiratory complications after contracting human avian influenza virus H5N1.

"The girl is the 14th person in Cambodia to become infected with the H5N1 virus and the tenth to die from complications of the disease," the statement said.

The patient became sick on March 22 and she was initially treated by local villagers with no effect and was admitted to a local hospital on March 29 before she was later on March 31 sent to a hospital in Siem Reap province where she died just four hours after admission.

"Avian influenza is still a threat to the health of Cambodians - - early identification of potential patients is the fastest way of ensuring they can have correct treatment," said Minister of Health Mam Bunheng.

"I urge communities to be on the look-out for respiratory infection with history of contact with dead or sick poultry to promptly seek medical attention at the nearest health facilities," he added.

Scientists find superbugs in Delhi drinking water

By Kate Kelland, Health and Science Correspondent

LONDON | Thu Apr 7, 2011 3:57pm EDT

(Reuters) - A gene that makes bugs highly resistant to almost all known antibiotics has been found in bacteria in water supplies in New Delhi used by local people for drinking, washing and cooking, scientists said on Thursday.

The NDM 1 gene, which creates what some experts describe as "super superbugs," has spread to germs that cause cholera and dysentery, and is circulating freely in other bacteria in the Indian city capital of 14 million people, the researchers said.

-snip-

Vietnam: #H5N1 in Poultry

[excerpt]

On this occasion, Department of Animal Health also confirmed bird flu has occurred in the province of Tien Giang province, raising the total number of localities are translated to five provinces in the country.
2 and 30-3 in the past 29 days, the area Cai Lay District, Tien Giang province had appeared two bird flu outbreaks in Tan Binh and Tan Phu.

Specifically, in Tan Binh, the outbreak occurred on a 500 baby chickens are not vaccinated against bird flu, while in Tan Phu, avian influenza has occurred in two birds with a total of 690 children also not been vaccinated against bird flu. Department of Animal Health in cooperation with Tien Giang province local authorities have carried out the total destruction of infected poultry, while implementing urge measures of prevention and fight against bird flu. Thus, the five provinces where avian influenza is 21 days, including Quang Ngai, Quang Tri, Nam Dinh, Hai Phong, and Tien Giang.

Egypt: Lady bird flu infection in the lake [Damanhour]

His Chest Hospital Damanhour Lady of the Mahmudiyah claims Nihad Bassiouni Mahmoud housewife infected with symptoms of bird flu with fever - cough - sore throat - muscle pain and difficulty breathing Vtm isolated and took a sample and sent to central laboratories for analysis, which reported positive sample and the injury of Mrs. disease. The hospital received 3 cases infected with the disease during the past two weeks.

#Egypt: WHO Update - 3 New Confirmed Human Cases #H5N1

Avian influenza - situation in Egypt - update 48

29 March 2011 - The Ministry of Health of Egypt has announced three new confirmed cases of human infection with avian influenza A(H5N1) virus.

The first case is a 32 year old male from Suez Governorate. He developed symptoms on 8 March, was hospitalized on 12 March and died on 13 March.

The second case is a 28 year old female from Giza Governorate. She developed symptoms on 8 March and was hospitalized on 10 March. She is in a stable condition.

The third case is a 4 year old male from Behira Governorate. He developed symptoms on 5 March and was hospitalized on 7 March. He recovered and was discharged on 12 March.

Investigations into the source of infection indicate that the cases had exposure to sick and/or dead poultry suspected to have avian influenza.

The cases were confirmed by the Egyptian Central Public Health Laboratories, a National Influenza Center of the WHO Global Influenza Surveillance Network.

Of the 133 cases confirmed to date in Egypt, 45 have been fatal.

WHO Avian influenza – situation in Indonesia - update 3

1 April 2011 - The Ministry of Health of Indonesia has announced a confirmed case of human infection with avian influenza A(H5N1) virus.

The case is a 28 year old female from Gunung Kidul district, Yogyakarta Province. She developed symptoms on 1 March, was admitted to a health care facility on 6 March and referred to a hospital on 11 March. She died on 14 March.

The cases’ family owned chicken and ducks, and the case visited local village/town traditional market on a daily basis. There were many free roaming poultry in the neighborhood and it was reported there were chicken deaths in the previous months.

Laboratory tests have confirmed infection with avian influenza A(H5N1) virus.

Of the 176 cases confirmed to date in Indonesia, 145 have been fatal.

Vietnam: Do not let the disease of cattle and poultry spreads

[What increase in people infected with H5N1?]

03/19/2011
Excerpt:

Faced with increasing number of people infected with influenza A/H5N1, Prime Minister asked the Ministry of Agriculture and Rural Development to coordinate with the Ministry of Health to closely monitor the bird flu virus, the epidemic is related to the influenza A/H5N1 to take timely measures.

[Here is the link: http://translate.google.com/translate?js=n&prev=_t&hl=en&ie=UTF-8&layout=2&eotf=1&sl=vi&tl=en&u=http%3A%2F%2Fwww.google.com%2Fsearch%3Fq%3Dc%25C3%25BAm%2Bgia%2Bc%25E1%25BA%25A7m%26hl%3Den%26client%3Dfirefox-a%26hs%3DCmQ%26rls%3Dorg.mozilla%253Aen-US%253Aofficial%26num%3D10%26lr%3D%26ft%3Di%26cr%3D%26safe%3Dimages%26tbs%3D%2Cqdr%3Ad]

Vietnam: $ 25 million to strengthen anti-bird flu in humans

The Prime Minister has approved a policy to increase capital, additional $ 25 million for the project "Prevention of avian flu, human flu and pandemic prevention in Vietnam" (VAHIP). The capital increase funded from loans.

Borrowed capital to increase capacity to prevent avian influenza in humans.

Loan capital sources include the International Development Association (IDA) of World Bank (WB) is $ 10 million, non-refundable aid of the Trust Fund for Avian Influenza Prevention and Human Influenza (AHIF ) is $ 13 million and counterpart fund is $ 2 million.

Prime Minister requests in the process of approving the project, the Ministry of Agriculture and Rural Development and Ministry of Health to receive comments from relevant agencies to use World Bank loans efficiently, ensuring protection project was implemented according to schedule, achieving the set objectives.

VAHIP project was implemented in 11 provinces: Lang Son, Hanoi, Thai Binh, Thanh Hoa, Ha Tinh, Thua Thien Hue, Binh Dinh, Tay Ninh, Long An, Tien Giang and Dong Thap province with the goal of improving Results of the veterinary services and health, reduce health risks for humans and poultry caused by avian influenza.

Also, through activities and projects will contribute to disease control highly pathogenic avian influenza at the national level by controlling outbreaks in poultry in the original, early detection and response to cases of infectious infection in humans and poultry, and prepared in case of health pandemics occurred in the next period.

WHO Avian influenza - situation in Bangladesh

16 March 2011 - The Ministry of Health and Family Welfare, Government of the People's Republic of Bangladesh has confirmed a case of human infection with avian influenza A (H5N1) virus. The case was detected through the influenza sentinel surveillance centre run by the Institute of Epidemiology Disease Control and Research (IEDCR) and the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B).

The case is a 16 month old female from Kamalapur, Dhaka. She presented at a influenza sentinel surveillance on 8 March with a history of cough and fever and subsequently recovered.

A detailed epidemiological investigation and contact follow up is being conducted by a team of epidemiologists from IEDCR, ICDDRB and WHO Bangladesh.

The case was confirmed as being infected with A(H5N1) by the Institute of Epidemiology Disease Control and Research (IEDCR).

WHO Avian influenza - situation in Egypt - update 47

15 March 2011 - The Ministry of Health of Egypt has announced a new confirmed case of human infection with avian influenza A (H5N1) virus.

The case is a 38 year old female from Ismailia Governorate. She developed symptoms on 1 March and was hospitalized on 7 March.

She was in a critical condition under artificial ventilation and died on 11 March.

Investigations into the source of infection indicate that the case had exposure to sick poultry suspected to have avian influenza.

The case was confirmed by the Egyptian Central Public Health Laboratory, a National Influenza Center of the WHO Global Influenza Surveillance Network.

Of the 130 cases confirmed to date in Egypt, 44 have been fatal.