# 5591
Two reports today.
First, the World Health Organization has details of a fresh bird flu case in Egypt.
Avian influenza - situation in Egypt - update 52
1 June 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 30 year old female from Amria District, Alexandria Governorate. She developed symptoms on 26 April and was hospitalized on 3 May.
She was in a critical condition under artificial ventilation and died on 9 May. She received oseltamivir treatment at the time of hospitalization.
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 144 cases confirmed to date in Egypt, 48 have been fatal.
This marks the 25th case and 8th fatality in Egypt from the H5N1 virus in 2011.
Next we get a report from Indonesia, a country where more than 8 out of 10 people treated for H5N1 infection have died.
Happy endings there are few and far between, nevertheless, we appear to have one today with this announcement by Depkes (The Indonesian Ministry of Health).
A big hat tip goes to Arkanoid Legent, one of the hardest working newshounds in Flublogia, for posting this report his site, along with the Flu Wiki and FluTrackers.
Indonesia : Bird Flu Patient Heals
KN (P, 1.2 years), North Jakarta residents who tested positive for H5N1 virus (bird flu) based on the results of Laboratory Research and Development Agency Ministry of Health, declared cured after being treated intensively in AI referral hospitals in North Jakarta. Until now KN conditions remain healthy.
KN started getting ill on 3 April 2011 with symptoms of fever, cough, diarrhea and shortness. The patient recovered from surveillance activities SARI (Severe acute Respiratory Infection), which is coordinated Balitbangkes. He referred to the hospital on 8 April 2011 and is getting treatment at the referral hospital care with a diagnosis Bronkhopneumoni.
To identify risk factors, we conducted an epidemiological investigation into the patient's house and surrounding environment. The strongest risk factor, a week before the ill patients were invited his father to the market near his house to buy free-range chicken and KN participated holding the chicken.
Tjandra Yoga Aditama as the focal point of IHR (International Health Reagulation) has informed also about the case to the WHO.
Today’s announcement from Depkes should put Indonesia’s confirmed totals to 178 cases and 146 fatalities (82% mortality rate).
Surveillance being sporadic, and laboratory test results sometimes unreliable, these numbers are subject to some debate.
Although we continue to see isolated human infections in Indonesia, Egypt, and around the world - for now H5N1 is primarily a threat to poultry.
The virus remains poorly adapted to human physiology, and despite ample opportunities to cause illness in humans, only causes rare, sporadic infections.
The concern, of course, is that over time that may change. That the virus will mutate into a form that is easily acquired and passed on by humans.
And so the world remains at Pre-pandemic Phase III on the H5N1 virus, and we continue to watch for signs that the virus is adapting to humans.
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