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PostPosted: Wed Sep 02, 2009 10:23 am 
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Rome, 2 Sept. (AKI) - A 35 year-old Italian tourist is one of three people believed to have been infected with A(H1N1) virus, or swine flu, as well as the H5N1 virus, known as avian flu. The patients are recovering in the Egyptian Red Sea resort of Hurghada, said Mohammed Rifai, director general of preventive medicine.

http://www.adnkronos.com/AKI/English/Se ... 3724836800

Gotta read the whole thing....not good, not good at all :(


Last edited by Faithful on Wed Sep 02, 2009 10:26 am, edited 1 time in total.

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PostPosted: Wed Sep 02, 2009 10:25 am 
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I saw that:

http://www.ubalert.com/a/9452

is this serious?


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PostPosted: Wed Sep 02, 2009 11:05 am 
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Posts: 444
I would say one case would not be out of ordinary. Three cases in the same region within a matter of days would raise even the most experienced persons eyebrows. Would suggest everyone keep a sharp eye out for further articles on the subject :shock:


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PostPosted: Wed Sep 02, 2009 11:18 am 
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Rifai also spoke of a 28-year-old man who tested positive for both viruses, after arriving at the port of Safaga after a pilgrimage to Saudi Arabia.

This is really concerning :(

And there is this part~ it is unclear how many more were tested tho:

"We are waiting the results of the tests that have already been carried out in some patients suspected of having been infected by the H5N1 and the A(H1N1)," said World Health Organisation spokesman Gregory Hartl in an interview with Adnkronos Salute.


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PostPosted: Wed Sep 02, 2009 11:54 am 
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Posts: 56044
Location: Pittsburgh, PA USA
H5N1/H1N1 VIRUS CO-INFECTION - EGYPT: ex SAUDI ARABIA, SUSPECTED,
REQUEST FOR INFORMATION
*****************************************************************
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: Sun 30 Aug 2009
Source: AlMasry AlYoum [in Arabic trans. Hussain Ayoub, paraphrased
and edited]
<http://www.almasryonline.com/portal/page/portal/MasryPortal/ARTICLE_AR?itId=UG115499&pId=UG14&pType=1>


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.

Mohammad Rifai, director-general of preventative medicine, stated that
this case is the 3rd in 2 days. [The other 2 are a 35-year-old Italian
tourist also retained at the hospital in Hurghada and] another
pilgrim, 30 years old, who has been detained in Safaga Central
Hospital. Rifai pointed out that a sample from a 38-year-old citizen
has tested negative.

Another 2 cases have been detained in Mansoura fever hospital on
suspicion of similar illness.

5 cases, including 4 children, suspected of having contracted
"bird flu" infection [presumably avian influenza (H5N1) virus
infection] have been detained in Mansoura Chest hospital.

[Byline: Mohamed Soliman]

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

[Does the director-general of preventative medicine mean this case is
the 3rd in 2 days of *dual* infection? Unless both *viruses* were
detected in the patient, not simply positive antibody results, this
would be inconclusive, since Egypt has reported cases of H5N1
throughout 2009, and this person may have had a mild infection before
leaving for Saudi Arabia. Saudi Arabia has reported 285 cases (no
deaths) of H1N1 in 2009 -- see last case count of 22 July in ProMED
ref. below -- but it is also possible that the Egyptian
pilgrim(s) could have caught H1N1 from a pilgrim from another
H1N1-infected country.- Mod.JW]

[If this report is confirmed it raises the prospect of the potential
evolution by genome subunit reassortment of a highly transmissible
influenza virus like the pandemic (H1N1) 2009 virus with the enhanced
virulence of the avian (H5N1) virus. Further information is awaited
confirmatory or not, by laboratory analysis, of the occurrence of dual
infection. - Mod.CP]

[Port Safaga, in the Red Sea Governorate (El Bahr El Ahmar), can be
located on the HealthMap/ProMED-mail interactive map of Egypt at
<http://healthmap.org/r/00KC>. - Sr.Tech.Ed.MJ]

[see also:
Avian influenza, human (111): Egypt, 84th & 85th cases, WHO 20090901.3079
Influenza pandemic (H1N1) 2009 (14): case count 20090722.2599
2008
----
Avian influenza (24): Saudi Arabia, China (Tibet), Bangladesh 20080129.0373

_________________
www.twitter.com/hniman


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PostPosted: Wed Sep 02, 2009 11:56 am 
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Posts: 56044
Location: Pittsburgh, PA USA
AVIAN INFLUENZA, HUMAN (111): EGYPT, 84TH AND 85TH CASES, WHO
*************************************************************
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: Mon 31 Aug 2009
Source: WHO Epidemic and Pandemic Alert and Response (EPR) Disease
Outbreak News [edited]
<http://www.who.int/csr/don/2009_08_31/en/index.html>


Avian influenza situation in Egypt -- WHO Update 22
---------------------------------------------------
The Ministry of Health of Egypt has reported 2 new confirmed human
case of avian influenza A (H5N1).

The 1st case is a 2-year-old female from Menofia Governorate. Her
symptoms started on 23 Aug 2009. She was admitted to a fever hospital
on 26 Aug 2009, where she received oseltamivir treatment. The patient
is in stable condition.

The 2nd case is a 14-year-old female from Damitta Governorate. Her
symptoms started on 21 Aug 2009. She was admitted to a fever hospital
on 23 Aug 2009 where she received oseltamivir treatment, and is in
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.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

[This is the official WHO confirmation of the 84th and 85th cases
reported previously in ProMED-mail-- see below. - Mod.CP]

[see also:
Avian influenza, human (110) - Egypt, 85th case 20090830.3051
Avian influenza, human (109) - Egypt, 84th case 20090830.3047]
........................................cp/mj/jw

_________________
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PostPosted: Wed Sep 02, 2009 12:13 pm 
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Location: Southern California
Does this mean they are now confirming the h1n1-h5n1 co-infection? Yesterday they were claiming they were only rumors and not true....


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PostPosted: Wed Sep 02, 2009 12:19 pm 
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Posts: 128
One case was denied. That leaves 2 in question. I'd really like to see a commentary from Dr. Niman on these suspected cases. What his thoughts are, etc. I know it may be a bit premature, but with his expertise in virology, he can shed a little light on these suspicions and what it may or may not mean.


Last edited by Shasta123 on Wed Sep 02, 2009 12:21 pm, edited 1 time in total.

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PostPosted: Wed Sep 02, 2009 12:20 pm 
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Posts: 1419
Location: Katy, TX
If I am reading the (confusing) trail correctly, one of the three mentioned is the case posted yesterday with a denial from Egypt (no Nile puns intended). However, if we *are* infact seeing some cases returning from Saudia Arabia and Egypt with H1N1/H5N1 coinfection, what are we really looking for?

1. The two may not exchange genetic material?
2. They may reassort and produce a totally new virus of unknown subtype (doesn't have to be H1N1 OR H5N1)? This has potential ramifications on the vaccine.
3. A recombination even may occur in one or both viruses? This could result in little change to either (H1N1 not becoming even more lethal, H5N1 not becoming H2H). Or dramatic changes to either or both. Such changes may or may not impact the vaccine, depending on the nature of the change(s) and what ultimately emerges.

Dr. Niman, can you provide some insight on what you would be looking for and what outcome(s) you think might be most likely?

_________________
I am not a doctor, virologist, or any of type of medical/life sciences professional.

I am a layman with a background in the physical sciences.


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PostPosted: Wed Sep 02, 2009 12:30 pm 
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Joined: Wed Aug 19, 2009 10:38 am
Posts: 968
In other "words":
:confused:
:shock:
:scratch:
:(
:worried:


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