SAIDR: Humans Infected with H5N1

Positive Cases 2006 - 2008 (Arabic)

RECENT CASES:
Date of report: 4 March 2010
Governorate: Qalioubiya
District: Banha
Event summary: Boy, 1 years old, began experiencing symptoms on February 22. He was hospiralized February 23 and received oseltamivir treatment. He was reported in stable condition March 4.
Source of report: WHO
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Date of report: 4 March 2010
Governorate: Qalioubiya
District: Shoubra El Kheima
Event summary: Man, 53 years old, began experiencing symptoms on February 27. He was hospitalized February 27 and given oseltamivir treatement. He was reported in critical condition March 4.
Source of report: WHO
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Date of report February 19, 2010
Governorate: Kafr El Sheikh
District: Kafr El Sheikh
Event summary: Boy, age 13 years. No other information available. The MOH reported this was case number 102 of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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Date of report February 19, 2010
Governorate: Kafr El Sheikh
District: Kellin
Event summary: Woman, age 30 years. No other information available. The MOH reported this was case number 101 of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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Date of report February 17,10
Governorate: Dakahlyia
District: Meet Ghamr
Event summary: Boy, age 10 years, began to feel symptoms February 10, 2010. Referred to EL Bakry Hospital-Cairo in Moderate condition. Started Tamiflu February 14, 2010. Infection with HPAI was confirmed 17 February 2010. The MOH reported this was case number 100 of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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Date of report 12 February 2010
Governorate: Menoufiya
District: El Saadat
Event summary: Woman, age 29 years, died. She was 26 weeks pregnant. She began to feel symptoms 6 February 2010 and was admitted to Shebin El Kom hospital in critical condition with bilateral pneumonia for artificial ventilation where she later died.Infection with HPAI was confirmed 13 February 2010. The MOH reported she had close contact with diseased poultry. The MOH reported this was case number 99 of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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Date of report 11 February 2010
Governorate: Menoufiya
District: Ashmoun
Event summary: Man, age 32 years, began to feel symptoms 6 February 2010 of fever and coughing. He was admitted on 8 February to Ashmoun District Hospital with basal pneumonia and effusion, referred from Ashmoun District Hospital to Abassia Hospital. Infection with HPAI was confirmed 11 February 2010. The MOH reported this was case number 98 of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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Date of report 6 February 2010
Governorate: Helwan
District: Helwan
Event summary: Man, died, age 37 years, began to feel symptoms 31 January 2010. He was admitted to the hospital with severe pneumonia and respiratory failure. Infection with HPAI was confirmed 8 February 2010. Died February 10, 2010 at Abassia chest hospital. The MOH reported this was case number 97 of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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Date of report Feb. 3, 2010
Governorate: Menoufiya
District: El Saadat
Event summary: Woman, age 29 years, died. She began to feel symptoms 27 January 2010 and was admitted to Menouf Hospital with bilateral pneumonia in critical condition, then referred to Abassia hospital in Cairo. Infection with HPAI was confirmed 4 February 2010. The WHO reported Feb. 17 that she had died. The MOH reported this was case number 96 of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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Date of report 2 February 2010
Governorate: Qalyoubiya
District: Benha
Event summary: Woman, age 40 years, began to feel symptoms 31 Jan-10 She admitted to Benha chest hospital and referred to Abassia hopsital in Cairo Date Started Tamiflu Not available Infection with HPAI was confirmed Feb. 3, 10 The MOH reported this was case number 95 of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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Date of report 19-Jan-10
Governorate: Sharkia
District: Fakos
Event summary: Man, age 45 years, began to feel symptoms 12-Jan-10. He was hospitalized with unilateral pneumonia. The MOH reported this was case number 94 of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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Date of report: Not available
Governorate: Assiut
District: Gahanayem
Event summary: Boy, age 3 years. Infection with HPAI was confirmed 20 January 10 The MOH reported this was case number 93 of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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Date of report 12 January 2010
Governorate: Dakahlyia
District: Talkha
Event summary: Boy, age 1.5 years, was admitted to Mansoura chest hospital with pneumonia. Infection with HPAI was confirmed 15 January 2010. The MOH reported this was case number 92 of highly pathogenic avian influenza in Egypt.
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Date of report: 13 January 2010
Governorate: Beni Suef
District: Beba
Event summary: Woman, 20 years old, fatal. The patient began experiencing symptoms January 6. She was admitted to Beni Suef Chest Hospital on November 15. Her famiy reported she had contact with sick and dead poultry. She was reported in stable condition January 13 but died. The MOH reported this was the 91st 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
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Date of report: 21 December 2009
Governorate: Gharbia
District: Tanta
Event summary: Woman, 21 years old, began experiencing symptoms of fever and cough on 15 December 2009. She was admitted to Tanta Fever Hospital where she received oseltamivir treatment on the same day. She is in a stable condition. Investigation revealed that the case had close contact with dead poultry and was involved in slaughtering sick birds. The case was confirmed by the Egyptian Central Public Health Laboratories, a National Influenza Center of the WHO Global Influenza Surveillance Network (GISN). The MOH reported this was the 90th case of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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Date of report: 23 November 2009
Governorate: Minya
District: Samalout
Event summary: Boy, 3 years old, was admitted November 22 to Minya Fever Hospital. He was receiving Tamiflu November 23 and was reported stable and in good condition. The MOH reported this was the 89th case of highly pathogenic avian influenza in Egypt.
Source of report: MOH
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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
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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
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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
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Date of report: 30 August 2009
Governorate: Damietta
Village: Kafr Saad
Event summary: Girl, 14 years old, began experiencing high temperature, runny nose and sore throat on August 21. She was admitted to Damietta Fever Hospital on August 23 and received Tamiflu. She was reported in stable condition on August 31. The MOH reported this was the 85th case of highly pathogenic avian influenza in Egypt.
Source of report: MOH via UNDP
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Date of report: 28 August 2009
Governorate: Menoufiya
District: Birkat al Saba
Event summary: Girl, 8 months old, began experiencing high temperature after contact with infected domestic birds. She was admitted to Shebin el Kom Fever Hospital and treated with Tamiflu. The child was reported in stable condition on August 29. She was to be referred to Manshiyet al-Bakry Hospital in Cairo to complete the treatment. The MOH reported this was the 84th case of highly pathogenic avian influenza in Egypt.
Source of report: Dr. Amr Kandeel, Undersecretary for Preventative Affairs, MOH, via UNDP
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Date of report: 31 July 2009
Governorate: Menoufiya
District: Shebin el Kom
Event summary: Boy, 1½ years old, presented with high fever, runny nose, and other cold symptoms on July 28. He was hospitalized on July 30 at Shebin el Kom Fever Hospital and given Tamiflu upon suspicion of AI. He was reported in stable condition around August 3 and in the process of being transferred to Manshiyet el Bakry Hospital in Cairo. Local veterinary services in Menoufiya Governorate told FAO-ECTAD that 6 chickens and 2 ducks from the child's house were found negative for AI in samples sent to NLQP. The MOH reported this was the 83rd case of highly pathogenic avian influenza in Egypt.
Source of report: MOH via FAO ECTAD Egypt
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Date of report: 26 July 2009
Governorate: Kafr el Sheikh
District: Kafr el Sheikh
Event summary: Girl, 8 years old, began experiencing fever, runny nose and cough on July 24. She was admitted to Kafr el Sheikh Fever Hospital on July 25. Infection with avian influenza was confirmed July 26. Her mother reported that the child was in close contact with dead and sick poultry. The child was reported in stable condition with a clear chest x-ray on July 26. She was to be referred to Manshiyet al Bakry Hospital in Cairo. The MOH reported this was the 82nd 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
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Date of report: 9 July 2009
Governorate: Kafr el Sheikh
District: Kaleen
Event summary: Boy, 1½ years old, began experiencing fever and runny nose on June 15. He was admitted to Kafr el Sheikh Fever Hospital on June 16 and was administered Tamiflu. No information is available about past contact with dead and sick poultry. The child was reported in stable condition on July 9. The MOH reported this was the 81st 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
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Date of report: 6 June 2009
Governorate: Dakahlia
District: Not reported
Event summary: Girl, 4 years old. Not reported when she began experiencing symptoms. She was admitted to Mansoura Chest Hospital on June 6 and then referred to Manshiyet al Bakry Hospital in Cairo. No information was available about past contact with dead and sick poultry. The child was released from the hospital on a date not stated. The MOH reported this was the 80th 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
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Date of report: 4 June 2009
Governorate: Damietta
District: Not reported
Event summary: Boy, 1½ years old. Not reported when he began experiencing symptoms. He was admitted to Damietta Fever Hospital on June 2 and then referred to Manshiyet al Bakry Hospital in Cairo on June 4. No information was available about past contact with dead and sick poultry. The child was released from the hospital on a date not stated. The MOH reported this was the 79th 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
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Date of report: 1 June 2009
Governorate: Kafr El Sheikh
District: Kafr El Sheikh
Event summary: Girl, 4 years old, began experiencing fever and sore throat on May 30th. She was admitted to Kafr El Sheikh Fever Hospital on May 31st. Infection with avian influenza was confirmed June 1st. Her mother reported that the child was in close contact with dead and sick poultry. The child was reported in stable condition June 1st; her chest X-ray was free. She was to be referred to Manshiyet el Bakry Hospital in Cairo. The MOH reported this was the 78th 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
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Date of report: 30 May 2009
Governorate: Dakahlia
District: Dekernes
Event summary: Girl, 14 months old, began experiencing fever, runny nose and cough on May 25. She was admitted to Mansoura Chest Hospital on May 29. Infection with avian influenza was confirmed May 30. Her mother reported that the child was in close contact with her during slaughtering and defeathering of poultry. The child was reported in stable condition May 30; her chest X-ray was free. She was to be referred May 30 to Manshiyet el Bakry Hospital in Cairo. The MOH reported this was the 77th 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
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Date of report: 27 May 2009
Governorate: Sharkiya
District: Village in Abo Hammad district
Event summary: Girl, age 4, began experiencing fever on May 23. She was admitted to Zagazig Fever Hospital on May 25. Infection with avian influenza was confirmed May 26. A history of contact with dead and sick poultry was reported. She was reported in stable condition May 27 and was to be referred to Manshiyet el Bakry Hospital in Cairo. The MOH reported this was the 76th 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
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Date of report: 27 May 2009
Governorate: Sharkiya
District: Hehia city urban area
Event summary: Boy, age 4, began experiencing fever on May 24. He was admitted to Zagazig Fever Hospital on May 25. Infection with avian influenza was confirmed May 26. A history of contact with dead and sick poultry was reported. He was reported in stable condition May 27 and was to be referred to Manshiyet el Bakry Hospital in Cairo. The MOH reported this was the 75th 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
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Date of report: 20 May 2009
Governorate: Sohag
District: Sohag
Event summary: Boy, age 3½, began experiencing symptoms of fever and cough on May 17. He was admitted to Sohag Chest Hospital on May 18. Infection with avian influenza was confirmed May 20. A history of close contact with dead and sick poultry was reported. He was reported in stable condition May 20 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: Dr. Amr Kandeel, Undersecretary for Preventative Affairs, MOH
Dr. Samir Refaie, Head of Epidemiology and Surveillance Unit, MOH
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Date of report: 20 May 2009
Governorate: Dakahliya
District: Sherbin
Event summary: Boy, age 4, began experiencing fever on May 18. He was admitted to Mansoura Chest Hospital on May 18. Infection with avian influenza was confirmed May 20. A history of close contact with dead and sick poultry was reported. He was reported in a good general condition May 20 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: Dr. Amr Kandeel, Undersecretary for Preventative Affairs, MOH
Dr. Samir Refaie, Head of Epidemiology and Surveillance Unit, MOH
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Date of report: 18 May 2009
Governorate: Dakahliya
District: Meet Ghamr
Event summary: Girl, age 4, began experiencing symptoms on May 9. She was admitted to Mansoura Chest Hospital with pneumonia on May 17. Infection with avian influenza was confirmed May 18. A history of close contact with sick poultry was reported. The girl died May 18. The MOH reported this was the 72nd 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
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Date of report: 15 May 2009
Governorate: Gharbia
District: Mahalla
Event summary: Boy, age 3, began experiencing fever and runny nose on May 12. He was admitted to Mahalla Fever Hospital on May 15. Infection with avian influenza was confirmed May 15. His family reported a contact with sick poultry. He was reported in good general condition on May 17 and was to be transferred to El Bakry Hospital in Cairo that day. The MOH reported this was the 71st 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
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Date of report: 13 May 2009
Governorate: Sharkiya
District: Kafr Sakr
Event summary: Boy, age 4½, began experiencing fever and runny nose on May 10. He was admitted to Zagazig Fever Hospital on May 11 and received Tamiflu the same day. Infection with avian influenza was confirmed May 13. His family reported a history of contact with dead and sick poultry. He was reported in good general condition on May 17 and was to be transferred to El Bakry Hospital in Cairo that evening. The MOH reported this was the 70th 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
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Date of report: 10 May 2009
Governorate: Sohag
District: Tanta
Event summary: Girl, age 5, began experiencing fever and runny nose on May 7. She was admitted to Sohag Fever Hospital on May 9 and received Tamiflu the same day. Infection with avian influenza was confirmed May 10. Her family reported a close contact with a dead/sick poultry. She was reported in good general condition on May 18 and was to be transferred to El Manshiyet Bakry Hospital in Cairo the same day. The MOH reported this was the 69th 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
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Date of report: 23 April 2009
Governorate: Gharbia
District: Tanta
Event summary: Woman, age 34, began experiencing fever on April 21. She was admitted to Tanta Fever Hospital on April 21 and received Tamiflu the same day. Infection with avian influenza was confirmed April 23. She reported a history of contact with dead and sick poultry. She was reported in good general condition on April 23. The MOH reported this was the 68th 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
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Date of report: 21 April 2009
Governorate: Sohag
District: Akhmim
Event summary: Boy, age 4, began experiencing symptoms of fever and runny nose on April 18. He was admitted to Sohag Fever Hospital on April 18 and received Tamiflu the same day. Infection with avian influenza was confirmed April 21. His mother reported a close contact with a dead or sick poultry. The boy was reported in good general condition on April 21. The MOH reported this was the 67th 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
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Date of report: 21 April 2009
Governorate: Kafr el Sheikh
District: Kellin
Event summary: Girl, age 1½, began experiencing symptoms of fever, nasal discharge and cough on April 15. She was admitted to Kafr el Sheikh Fever Hospital on April 18 and received Tamiflu the same day. Infection with avian influenza was confirmed April 19. Her mother reported a close contact with dead and/or sick poultry. The girl was reported in good general condition on April 21. The MOH reported this was the 66th 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.
Related avian case
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Date of report: 17 April 2009
Governorate: Cairo
District: El Marg
Event summary: Woman, age 25, 33 weeks pregnant, began experiencing symptoms of fever and cough on April 6. She was admitted to Ain Shams Hospital on April 11 and received Tamiflu April 16. Infection with avian influenza was confirmed April 17. Her family reported close contact with sick poultry. The fetus died, and the woman was reported in very critical condition under artificial ventilation on April 17. The MOH reported this was the 65th 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
Update: The patient died 22 (Source: FAO-ECTAD)
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Date of report: 15 April 2009
Governorate: Kafr el Sheikh
District: Kellin
Event summary: Woman, age 33, began experiencing symptoms of fever and cough on April 7. She was admitted to Kafr el Sheikh Fever Hospital on April 15 and received Tamiflu the same day. Infection with avian influenza was confirmed April 15. Her family reported close contact with sick and dead poultry. She was reported in a very critical condition under artificial ventilation on April 15. The MOH reported this was the 64th 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
Update: The patient died April 24 (Source: FAO-ECTAD)
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Date of report: 5 April 2009
Governorate: Qalyoubia
District: Shoubra el Kheima
Event summary: Boy, age 6, began experiencing symptoms March 22. He was admitted to Ain Shams University hospital March 28 and received Tamiflu on April 3. Infection with avian influenza was confirmed April 5. He was reported in a critical condition under artificial ventilation on April 6. The MOH reported this was the 63rd 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
Update: The patient died April 21 (Source: FAO-ECTAD)
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Date of report: 2 April 2009
Governorate: Beheira
District: Kom Hamada
Event summary: Boy, age 2, began experiencing fever, cough and runny nose on March 31. He was admitted to Damanhour Fever Hospital on April 1 and received Tamiflu the same day. Infection with avian influenza was confirmed April 2. He reported contact with a dead or sick poultry. He was reported in good general condition on April 6. The MOH reported this was the 62rd 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
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Date of report: 1 April 2009
Governorate: Beheira
District: Kom Hamada
Event summary: Boy, age 2, began experiencing fever and cough symptoms on March 27. He was admitted to Naaora Fever Hospital on March 30 and received Tamiflu the same day. Infection with avian influenza was confirmed April 1. He was reported contact with dead and sick poultry. He was reported in good general condition on April 6. The MOHP reported this was the 61st case of highly pathogenic avian influenza in Egypt.
Source of report: Dr. Amr Kandeel, Undersecretary for Preventative Affairs, MOHP
Dr. Samir Refaie, Head of Epidemiology and Surveillance Unit, MOHP
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Date of report: 26 March 2009
Governorate: Qena
District: Qena
Event summary: Girl age 2½, began experiencing symptoms March 23. She was admitted to Qena Fever Hospital March 24 and received Tamiflu the same day. Infection with avian influenza was confirmed March 26, and the child was referred to Manshiyet el Bakry Hospital, Cairo. Her mother reported the child had close contact with a dead poultry. She was reported in a good general condition on March 18. The MOHP reported this was the 60th case of highly pathogenic avian influenza in Egypt.
Source of report: Dr. Amr Kandeel, Undersecretary for Preventative Affairs, MOHP
Dr. Samir Refaie, Head of Epidemiology and Surveillance Unit, MOHP
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Date of report: 18 March 2009
Governorate: Assiut
District: El Fath
Event summary: Woman, age 38, began experiencing fever and headache March 14. She was admitted to Assiut Fever Hospital and given Tamiflu on March 14. Infection with avian influenza was confirmed March 18. The woman reported contact with dead and sick poultry. She was reported clinically free and in a good general condition on March 18. The MOHP reported this was the 59th case of highly pathogenic avian influenza in Egypt.
Source of report: Dr. Amr Kandeel, Undersecretary for Preventative Affairs, MOHP
Dr. Samir Refaie, Head of Epidemiology and Surveillance Unit, MOHP
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Date of report: 10 March 2009
Governorate: Menoufiya
District: Menouf
Event summary: Girl, age 1½, began experiencing symptoms March 6. She was admitted to Menouf Fever Hospital upon showing symptoms of high fever and cough, and was given Tamiflu. Infection with avian influenza was confirmed March 10. The girl reportedly had a history of close contact with dead and sick poultry. The child was reported in a good general condition on March 10. The MOHP reported this was the 58th case of highly pathogenic avian influenza in Egypt.
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Date of report: 4 March 2009
Governorate: Alexandria
District: Amira
Event summary: Boy, age 2½, began experiencing symptoms March 3. The same day, he was admitted to Alexandria Fever Hospital and received Tamiflu. Infection with avian influenza was confirmed March 4. His family reported a history of close contact with dead and sick poultry. The child was in a good general condition March 4. The MOHP reported this was the 57th case of highly pathogenic avian influenza in Egypt.
Source of report: Dr. Amr Kandeel, Undersecretary for Preventative Affairs, MOHP
Dr. Samir Refaie, Head of Epidemiology and Surveillance Unit, MOHP
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Date of report: 1 March 2009
Governorate: Fayoum
District: Youssef el Seddik
Event summary: Boy, age 2, began experiencing symptoms Feb. 25. He was admitted to Manshiyet el Bakry General Hospital on Feb. 28. The child received Tamiflu the same day. Infection with avian influenza was confirmed March 1. His mother reported a history of close contact with dead and sick poultry. The child was in a critical condition under artificial ventilation March 1. The MOHP reported this was the 56th case of highly pathogenic avian influenza in Egypt.
Source of report: Dr. Amr Kandeel, Undersecretary for Preventative Affairs, MOHP
Dr. Samir Refaie, Head of Epidemiology and Surveillance Unit, MOHP

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9 February 2009: 1½-year-old boy in Minya (Maghagha) stable with AI

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Date of report: 3 February 2009
Governorate: Suez
District: Ganain
Event summary: Boy, age 2, began experiencing symptoms Feb. 2.He was admitted to Suez Fever Hospital on Feb. 3; throat swab and blood samples were taken, and the child received Tamiflu the same day. Infection with avian influenza was confirmed Feb. 4. His mother reported a history of close contact with a dead poultry. The child was in a good general condition. The MOHP reported this was the 54rd case of highly pathogenic avian influenza in Egypt. 23 of the cases have been fatal.
Source of report: Ministry of Health and Population ESU
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Date of report: 26 January 2009
Per the Ministry of Health and Population
Governorate: Menoufiya
District: Shebin el Kom
Event summary: Girl, age 2, began experiencing symptoms Jan. 23: She was admitted to Shebin el Kom Fever Hospital and administered Tamiflu the same day. Infection with the H5N1 avian influenza virus was confirmed by the Egyptian Central Public Health Laboratory, according to the World Health organization. The MOHP said the girl was in good and stable condition Jan. 26. Her mother reported a history of close contact with sick poultry. The WHO reported this was the 53rd case of highly pathogenic avian influenza in Egypt; 23 of the cases have been fatal.
See related report.

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Date of report: 12 January 2009
Per the Ministry of Health and Population/Epidemiology and Disease Surveillance (ESU)
Governorate: Sixth of October
District: Kerdasa (urban area located in western Giza; population 460,000)
Village: Kafr Abu Hegazi (Saad Zaghloul Street near Abu Hegazi mosque)
Event summary: Female infant, 21 months old, began experiencing symptoms January 9 evening. The family kept unvaccinated poultry that had become sick and died in the previous week. Infant was taken to hospital January 10. AI was suspected on Jan. 11; patient isolated; tests taken. Results on January 12 showed AI; patient was given Tamiflu and transferred. Specimens from mother and other contacts tested negative. The child was reported in good, stable condition Jan. 14.
- This was Egypt's 52st human infection.
- For Sixth of October Governorate, it was the fourth suspected human infection but the first to be confirmed positive. For Kerdasa district, it was the first suspected human case.
Medical response: The infant around 8 p.m. January 9 began experiencing symptoms of fever, high temperature (41 C), cough, nasal discharge, vomiting, rapid breathing. Family sought medical care at Imbaba Fever Hospital on January 10.
- On January 11, case suspected as AI; patient isolated; specimen taken; Tamiflu administered at 1 p.m. Lab test of specimen returned positive for H5N1 virus on January 12; results by Central Public Health Laboratory (CPHL) and NAMRU-III. Case was referred to Manshiyet el Bakry Hospital, Cairo.
- Specimens (blood samples and throat swabs) were taken at Imbaba Fever Hospital from mother and others who had contact with poultry; contacts were kept under supervision at home by Kerdasa Hospital health team. Negative results were found from specimen tests by CPHL.
Condition of the home: The family had raised poultry at home that were unvaccinated. Last quantity was 150 chickens, 22 ducks, and 8 geese.
- The mother said some poultry began dying about a week before the child became sick. During the week, the mother and her family slaughtered the remaining poultry that were sick: 70 chicken and 6 geese. ESU reported they kept some live ducks and sold some ducks in the local market; and discarded many of the dead poultry in the garbage and around an irrigation canal.
- ESU said samples from poultry and from slaughtered birds stored in the house refrigerators were tested by MALR's National Laboratory for Veterinary Quality Control on Poultry Production (NLQP); all were found positive for H5N1 virus. MALR/GOVS said NLQP found only live ducks, only frozen. MALR/GOVS said samples were also taken from a neighbor's house located across a narrow street and were found positive. See related report.
Findings of the Ministry of Health and Population's Epidemiology and Disease Surveillance (ESU): Mother's awareness and notification of dead poultry helped in early diagnosis and administering of Tamiflu (around 36 hours after the onset of the disease).
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Negative result: 22 December 2008 case
Tests came back negative on a suspected human case of AI in a 4-year-old boy in Menoufiya Governorate, according to the MOHP/ESU. The suspected case was reported in the news media.
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Date of report: 15 December 2008
Governorate: Assiut
District: Abou Tig
Village: El Zaraby
Event summary: Female, 16 years old, began experiencing symptoms December 8. Admitted in Assiut University Hospital December 13 under ventilator in critical condition. Died December 15. This was Egypt's 51st human infection.
Findings of the General Organization for Veterinary Services (GOVS) Epidemiology Unit:
Among homes neighboring the girl's home, there had been a high mortality and flu-like symptoms for several weeks, with dead birds discarded in a drainage ditch that passes by the girl's home. The girl's family said it had recently purchased, slaughtered, and eaten two ducks; according to neighbors, one of the ducks died and the family quickly slaughtered the second. When the girl began to have trouble breathing, she was mistakenly diagnosed at a local hospital as having normal influenza.
Medical response: Family members said the deceased began to suffer a headache and fever on December 7, 2008. When she developed signs of respiratory distress, she was taken to a hospital Dec. 8, 2008. Only one doctor was present to respond, diagnosing the case as normal flu and giving the patient some medications. The family went to another hospital on Dec. 11, 2008 after severe complications, bloody sputum.
Condition of the home: The deceased’s home is one of a small number of scattered houses at a far side of the village surrounded mostly by agricultural land. An agricultural drainage canal passes in front of the house.
- There were conflicting accounts on whether the deceased's family raised poultry. Family members told GOVS that the girl had not left the home or visited anyone in the recent period.
- Family members said they bought two adult ducks from a market two months earlier, slaughtered and ate them directly. Neighbors said the family bought two ducks for rearing; that one of the ducks died, and the other was quickly slaughtered, producing blackish blood.
Condition of neighboring homes: Nearby neighbors keep poultry. Sampling was conducted by MALR/GOVS, MALR Central Lab, local veterinary preventive medicine specialists and a local lab team. Samples taken were nine tracheal swabs and nine cloacal swabs from ducks only.

In general, most of houses said that in the last month and a half to two months, there was a high mortality approaching 100 percent in the kept poultry with signs of cyanosis of the head, whitish diarrhea and nasal discharge.
As a general practice, dead birds are disposed of by being thrown in the drainage canal.
Most of sampled houses were vaccinated in the last vaccination campaign.

Local markets: There are two markets, a small market on Thursdays 3 km from the deceased's house, and a big market most weekdays in the district seat. A number of peddlers collect birds from the houses to sell at the markets – one or two peddlers pass every day. Some peddlers sell two-week-old chicks to the houses to raise.
Actions taken by the local veterinary directorate: Massive vaccinations in the surrounding houses; disinfection for the surrounding houses; culling of 41 birds in district market.