Saturday, April 25, 2009

Killer pig flu threat to UK: BA crew member rushed to hospital as 81 die in outbreak

Last updated at 1:34 AM on 26th April 2009
  • Pig flu virus may have killed 81 people
  • 1,300 others thought to have been infected
  • BA crew member on Mexico flight rushed to hospital
  • Source of the outbreak is not yet known
  • Travellers with symptoms warned to contact GP
  • Tamiflu and Relenza both effective against the
  • illness

Fears are growing that a deadly human strain of 'swine flu' that has claimed 81 lives in Mexico has arrived in Britain.

A British Airways cabin crew member yesterday complained of 'flu-like symptoms' midway through a flight to Heathrow from Mexico City, where the virus first surfaced.

Last night the unnamed man, understood to be a British national, was in isolation in a West London hospital and was being treated by staff trained in infectious disease controls.

Earlier, panic spread throughout Mexico, where those who died were reported to be the first victims of a pandemic with the potential to kill millions.

Experts said the virus posed the biggest threat of a pandemic since bird flu began to spread in 2003.

That has killed 256 people in 15 countries.


BA crew member on Mexico flight rushed to hospital as 68 die in swine flu outbreak. Cases spread to U.S.

Britons travelling to Mexico and from have been warned to be vigilant after a deadly pig flu virus – which may have killed 68 people – continued to spread.

But fears the flu could spread to Britain intensified tonight after a member of cabin crew was taken to hospital with 'flu-like symptoms' after falling ill on a British Airways flight from Mexico City to Heathrow.

The man, who has not been named, has been taken to Northwick Park Hospital in Harrow, a hospital spokesman said.

He added: "He has flu-like symptoms and is responding well to treatment. The patient was admitted directly to a side room and the hospital is scrupulously following infection control procedures to ensure there is no risk to any other individual in the hospital."

The man was taken from flight BA242 which landed at 2pm today, a BA spokesman said.

A Health Protection Agency (HPA) spokesman said: "We are aware of a patient admitted to a London hospital with reported travel history to Mexico.

"As a precautionary measure the patient is being tested for a range of respiratory and other illnesses in line with UK health guidance. At present there have been no confirmed cases of human swine flu in the UK or anywhere in Europe."

A spokesman for Hillingdon Council, which is responsible for the health of people passing through Heathrow airport, said: "As the port authority for Heathrow Airport we already have Health Protection Agency doctors in each of the airport's terminals at all times.

"Should we receive instructions from the Department for Health or the Health Protection Agency we will be well placed to respond appropriately."

hat-tip AndyM

SLP records fifth died of influenza

[There is a video, in Spanish, at the site, with this caption:
Video Fills health centers for fear of contagion
Dozens of patients with flu symptoms, to saturate clinical care, medical fence put up at their facilities

Saturday April 25, 2009

17:20 17:20

El Gobierno del Estado confirmó un quinto fallecimiento por influenza en la capital estatal y anunció la suspensión de clases desde preescolar hasta nivel superior.

The State Government confirmed a fifth death from influenza in the state capital and announced the suspension of classes from preschool to higher level.

Por su parte, la Arquidiócesis potosina emitió un comunicado para informar que la liturgia de la misa será modificada en razón de la epidemia de influenza: se suspende el saludo de la paz y el sacerdote dará la comunión en la mano de los feligreses, a quienes invita la iglesia a acudir con cubreboca a los servicios religiosos.

Meanwhile, the Archdiocese Potosina issued a statement to inform that the liturgy of the Mass will be modified because of the epidemic of influenza: suspending the greeting of peace and the priest gives communion in the hand of the parishioners, who invited to attend the church with cubreboca to religious services.

La Secretaría de Salud contabilizó ya 62 casos en nueve municipios de la entidad y de ellos cinco fallecimientos, todos en la capital.

The Ministry of Health recorded 62 cases and in nine municipalities of the entity and of those five deaths, all in the capital. -snip-

Influenza Hidalgo confirms first case of swine flu

[Hidalgo borders both the Federal District and San Luis Potosi]

Saturday April 25, 2009

17:43 The Health Secretary in Hidalgo, Jorge Fuentes Islands confirmed the presence of the first case of swine influenza in this entity, where a girl was attacked a year by the virus in the town of Actopan, demarcation located 35 minutes of the state capital.

Also announced the cancellation of mass events of all kinds, including religious services and sports. Among the first events to be affected is the football match between Pachuca and Cruz Azul.

This also ordered the cancellation of a massive cut religious event to be held in the state capital.

On the possibility of suspending classes officer, said the provision was taken during the national meeting of secretaries of Health.

The recommendation to avoid the massive events also extended to cinemas and theaters, and conferences, in this aspect, the municipal president of Pachuca canceled his public activities.

While health authorities recommended to comply with the recommendations such as avoiding crowded places, greet and kiss the hand, whereas if it is discussed the suspension of classes.
hat-tip AndyM

Investigate if 5 people are infected with influenza in Colombia


Colombian authorities announced today they are studying the health status of five people who show symptoms of swine influenza after visiting Mexico in recent days, official sources reported

Health Secretary of Bogota, Hector Zambrano, said that samples were sent to Atlanta five patients to determine whether or not they are ill with swine flu, which left 20 dead in Mexico, including some 60 deaths that occurred in the country influenza.

"These people came about four or five days in Mexico were presented to institutions (health) saying they have flu symptoms and therefore were notified and are doing an epidemiological monitoring for the presence of this virus," the official .

According to Zambrano, the five people are in their homes and their doctors are monitoring his medical table.

Meanwhile, the Minister of Social Protection, Diego Palacio, said he held a videoconference with the various Secretaries of Health of the country to discuss the situation that occurred in Mexico.

"We need to be an outstanding flu at the moment is to put all the care that no question of where to run away but the doctor treating the person is in your house, not having contact with others," he said.

Meanwhile, the State Agricultural Institute (ICA), explained that the checks have been increased at airports, ports and border crossings. So far no cases have been reported for swine influenza in Colombia.
hat-tip Helblindi

Swine flu worse in Mexico than US, but why?

ATLANTA – Why has the swine flu engulfing Mexico been deadly there, but not in the United States?

Nearly all those who died in Mexico were between 20 and 40 years old, and they died of severe pneumonia from a flu-like illness believed caused by a unique swine flu virus.

The 11 U.S. victims cover a wider age range, as young as 9 to over 50. All those people either recovered or are recovering; at least two were hospitalized.

"So far we have been quite fortunate," said Dr. Anne Schuchat of the U.S. Centers for Disease Control and Prevention on Saturday, just hours before three new U.S. cases were confirmed.

Health experts worry about a flu that kills healthy young adults — a hallmark of the worst global flu epidemics. Deaths from most ordinary flu outbreaks occur among the very young and very old.

Why the two countries are experiencing the illness differently is puzzling public health experts, who say they frankly just don't know.

It may be that the bug only seems more deadly in Mexico.

And while experts believe Mexico is the epicenter of the outbreak, they're not certain if new cases are occurring or if the situation is getting worse. They also don't know if another virus might be circulating in Mexico that could be compounding the problem.

A big question is, Just how deadly is the virus in Mexico?

The seasonal flu tends to kill just a fraction of 1 percent of those infected.

In Mexico, about 70 deaths out of roughly 1,000 cases represents a fatality rate of about 7 percent. The Spanish flu pandemic of 1918-19, which killed an estimated 40 million worldwide, had a fatality rate of about 2.5 percent.

The Mexican rate sounds terrifying. But it's possible that far more than 1,000 people have been infected with the virus and that many had few if any symptoms, said Dr. Michael Osterholm, a prominent pandemic expert at the University of Minnesota.

U.S. health officials echoed him.

"In Mexico, they were looking for severe diseases and they found some. They may not have been looking as widely for the milder cases," said Schuchat of the CDC.

The U.S. health agency sent two investigators to Mexico on Saturday to help, she said.

Currently, even the counted illnesses are problematic. Only a fraction have been lab confirmed. Severe penumonia-like illness happens all the time, so it's challenging to figure out which ones are really tied to the outbreak, U.S. health officials said.

"These numbers need to be confirmed," said Dr. Richard Wenzel, the immediate past president of the International Society for Infectious Diseases.

Other ideas about the difference include:

_Genetic analysis of virus samples in the two countries is continuing. The CDC says tests results show the U.S. and Mexican viruses are essentially the same, but some experts have not ruled out the possibility that the virus is changing as it leaks across the border to the north.

_Perhaps nutrition levels are worse in some Mexican communities — poor nutrition can degrade a person's immune defenses, and make them more susceptible to illness.

_Air quality in Mexico City is considered terrible. That too may have affect patients confronted with a novel respiratory disease.

_Access to medical care has been an issue in Asia, where a rare bird flu — which does not spread easily from person-to-person — has killed more than 200 over the last several years. Maybe Mexican patients have also had trouble getting medical care or antiviral drugs, some have speculated — even though the government provides health care.

All that is speculation at this point.

"The question of why the virus appears to be more virulent in Mexico is one that we are looking intensively into," the CDC's Schuchat said. "Rather than speculate, it's important for the science to lead us on this."

Bird flu kills Egyptian .. the vaccine used in Egypt is not effective .. and great concern that the virus will mutate

April 25, 2009 - 12:24

Board of Governors held an emergency meeting, this week, led by Dr. Ahmed Nazif, the Prime Minister, to discuss the dangerous developments of the avian flu and the spread of the deadly virus, in most provinces, to record the highest rates of human infection in the world during the first four months of 2009.

The sources said that the meeting is set tentatively next Wednesday, and will review the implementation of the decisions of the Higher Committee to combat avian influenza, particularly the closure of farms and the elimination of the various nest of home and the transfer of pig farms to the desert Monday.

At the same time, the fierce attack the virus, since detained hospitals fevers and Mahala, Tanta and Kafr Al-Zayat 8 citizens suspected of having avian flu, including 3 children and 4 women.

The Citizenship and Abdel-Jawad Wafa Hospital admitted to a hospital in Tanta was Abbasiyah, after being found infected with the virus, thus becoming the No. 68. For its part, called «the World Organization for Animal Health», the Egyptian authorities to vaccinate birds 3 times a year, and stressed in an official report on the need to provide the necessary vaccines and serums.

Sources with the Ministry of Agriculture revealed that the vaccine used by Egypt ineffective against the Egyptian version of the virus, following the failure of research institutes in Egypt, an Egyptian production of a vaccine, because of the weakness of the financing provided by the government.

"Dr. Hamid Samaha, Chairman of the General Authority for Veterinary Services, said that about 4500 poultry farms in Egypt, operating without a license, out of 8 thusand farms.

The Ministry of Environment official report warns that the slowdown in the transport of pigs from the residential block could lead to the acceleration of the virus mutating to become a copy of the transition from human to human, as the pig headed act mediator of the virus.

Swine-flu fears at Lakeshore General unfounded

The GazetteApril 25, 2009 5:17 PM

Fears of a swine-flu appearance in Montreal on Saturday afternoon are unfounded.

Johanne Simard, an official of the Montreal regional health board, says there are no cases of swine flu at Lakeshore General Hospital on the West Island and no quarantines in effect.

CTV Montreal had reported early Saturday afternoon that there were two precautionary quarantines in effect at the Lakeshore, and the LCN cable network one reported that there was quarantine. The cases cited involved people who had fallen sick after trips to Mexico, where the rise of a new swine-flu cluster has created global fears of a pandemic.

But after speaking to several high-ranking officials, The Gazette has been able to ascertain that doctors examined some people who were then subsequently ruled out for swiine flu.

And Simard went further, stating categorically that there are no quarantines in effect at the Lakeshore.

Still, health authorities that The Gazette spoke to – among them Louis-Pascal Cyr, the Lakeshore’s communications director, and Marie=Ève Bédard, press aide to Health Minister Guy Bolduc – stressed that Quebec is going on high alert with respect to swine-flu surveillance. The authorities say they want anyone who has recently been to Mexico and fallen sick with flu-like symptoms to report to a doctor or hospital. For the moment, Bédard said, there still isn’t a single documented case of swine flu in Quebec.

Outside Quebec, the World Health Organization is holding emergency meetings today to look at assess pandemic risks, with more than 20 deaths in Mexico confirmed to be linked to a new swine-flu strain known as A N1N1. More than 1,000 people in Mexico have fallen ill with flu-like symptoms in recent days. The mayor of Mexico has cancelled all public events for 10 days.

New U.S. swine flu cases spread pandemic fears

As Mexico hunkers down, 2 cases found in Kansas and 8 likely in NYC

Worries that the new swine flu strain that has killed as many as 68 people and sickened more than 1,000 across Mexico has “pandemic potential” increased with the announcement that the virus has spread to Kansas and likely to New York City.

On Saturday, two new cases were confirmed in Kansas — the first U.S. cases outside of California or Texas. An additional case was confirmed in California. And New York City Health Commissioner Dr. Thomas Frieden said tests showed that eight New York high schoolers had a type A influenza virus that was "probable" swine flu.

Samples have been sent to the U.S. Centers for Disease Control and Prevention for further testing to see if they are indeed the unusual H1N1 strain of swine flu; results are expected Sunday. The students showed only mild flu symptoms and are feeling better.

What is concerning about this is that it is likely swine flu and second that it is spreading person to person," Frieden said. He added, "We have seen no increase citywide in flu-like cases."

About 100 students at the private St. Francis Preparatory School in the New York City borough of Queens became sick last week, prompting the tests.

The Kansas cases involved two adults living in the same house; one is still ill and the other is recovering. One of the patients recently traveled to Mexico, flying in and out of Wichita.

NBC News has also learned there are suspected cases in Minnesota and Massachusetts. The total number of U.S. cases stands at 11 confirmed so far.

'Be prepared for uncertainty'
It may be too late to contain the sudden outbreak, warned the CDC, which has stepped up surveillance across the United States. "We are worried," said the CDC's Dr. Anne Schuchat.

“We don’t think we can contain the spread of this virus,” said Schuchat, Interim Deputy Director for Science and Public Health Program. “We are likely to find it in many other places.”

Because cases are spreading in the U.S. and in several sites in Mexico, officials now must work to detect infections and reduce their severity, if possible.

Ministry of Health announced on No. 68 with the incidence of avian influenza in Egypt

25/04/2009 25/04/2009

أ The Ministry of Health No. 68 of human infection with bird flu of a woman, aged 34 years, meeting Sunday attended by the city of Tanta claims «Wafa Abdel-Jawad» to be infected during the seventh this month.

And Dr «Sheriff Hammouda» Deputy Minister of Health meeting Sunday attended by the case of Ms. stable transfer was admitted to hospital in Cairo Abbasiyah to receive the necessary treatment as soon confirmed to be infected with the disease,
He added that Ms. had gone Tanta admitted to hospital on 21 this month after feeling symptoms of the disease after being sick and dead birds infected with the virus have been taking the necessary action as soon as they enter the hospital, where she was detained and taken a blood sample for analysis. Confirmed by the analysis conducted in the laboratories of the Ministry of Health to give a positive sample was infected with a drug Ms. «Altamflo» resistant to the disease. It is the sixth province, the incidence of the West, where he had 5 people injured by the disease and died, including four people, including 3 from one family.

Suspected bird flu in Qena

Saturday, April 25, 2009 - 13:31
إصابة جديد بأنفلونزا الطيور بالصعيد New bird flu infection level


Detained hospital fevers Qena on Saturday, the case on suspicion of being infected with bird flu, where the forces entered happy Abdul Mohamed (50 years) housewife to the hospital in case of severe fatigue suffer from high fever and severe coughing and the symptoms are similar to the disease.

Indicate that the patient had contact with infected birds, and a number of them died in the last period.
. Sample was taken from the patient and sent to the central laboratory in Cairo confirmed to be infected with the disease or not

Egypt-Ministry of Health is preparing for bird flu transmission between humans

السبت، 25 أبريل 2009 - 16:00 Saturday, April 25, 2009 - 16:00

The ministry is preparing a strategic stock Altammivloa and 1996 physicians and 2.4 million doses

Ministry of Health has announced that it is fully prepared to cope with bird flu now, and even if transferred to the pandemic, saying that the actions of the Ministry of Health in the fight against the disease, beginning with the preparation and printing of a plan to prepare for pandemic influenza and distributed to various provinces, and the directors of departments of health, as confirmed by the Ministry on San spokesman in an official statement to them.

Has been the establishment of an electronic database of health facilities, manpower, medical devices, the number of beds, water, electricity, motor vehicles, as well as the revitalization of the disease surveillance in all hospitals at the level of the Republic, especially fever and chest, with a number of samples that have been checked so far isolation of suspected bird flu, more than 6 thousand samples, have been detained and given the drug Tamiflu, the number of whom only 68 are positive, of whom 26 have died so far.

) The strategic reserves of the drug Tamiflu, bringing the number to 2.4 million doses, and to deal with suspected cases of injury and disease, in addition to the formation of a strategic stockpile of personal protective devices and disinfectants, it is sufficient for up to six months, providing 18 million-ring (N95)

With regard to plants, the establishment of central labs, reference laboratory, and the establishment and operation of four sub-factor of the provinces of Alexandria, Menya, West Aswan, and equipping the necessary inputs and equipment and the training of the health team.

Training to prepare for a pandemic in the provinces, are in the preparation of the departmental Rapid Response Teams, which were trained 1996 doctors and observers of health, planning and preparedness for pandemic influenza, and the development of mini-plans at the district level, hospitals and health units and outlets quarantine at the level of the Republic.

Departments and health departments are prepared through the training of 121 workers from the health departments in 9 governorates, namely Cairo, Giza, Qaliubiya, Monoufia, Dakahlia, Sharkia, Qena, Luxor, Sohag 82 by the hospital.

As for the position of the virus in Egypt, bringing the total number of human cases of bird flu so far are positive, 68, of whom two of the workers of poultry farms, 38 cases of contact with domestic poultry, and the state sells birds, 28 have recovered the situation, and the death of 26 cases, the mortality rate of up to 48%, compared with 63.3% death rate in the world.

أThe number of confirmed cases in the past three years, which recorded the history of the disease in Egypt since its entry in 2006, and that the number of detected cases to 18 cases, 10 cases and the death rate of 55.6% death rate.

And in 2007 recorded 25 cases detected cases, 9 cases died, including a 36% death rate, while in 2008, reaching the number of cases in which the 7 cases, 3 of whom died at a 42.8% death.

Two patients in isolation in Montreal hospital after being in Mexico: report

Published Saturday April 25th,

MONTREAL - Hospital officials and Quebec's health ministry are refusing to comment on media reports that two Montrealers are under quarantine at a local hospital after vacationing in Mexico.

Lakeshore General Hospital spokesman Louis-Pascal Cyr told CTV News today that the two patients were in isolation for further investigation as a precaution after returning from Mexico two weeks ago.

But a spokeswoman for the ministry said today that there had been no confirmed or suspected cases of the swine flu in the province.

She says, however, that any travellers returning from Mexico showing flu-like symptoms will be flagged by health officials.

Mexican authorities are on high-alert as they try to stem a deadly outbreak of the virus that has been linked to 68 deaths in that country.


Mexico’s Calderon Declares Emergency Amid Swine Flu Outbreak

By Thomas Black
April 25 (Bloomberg) -- Mexican President Felipe Calderon declared an emergency in his country’s swine flu outbreak, giving him powers to order quarantines and suspend public events.

Authorities have canceled school at all levels in Mexico City and the state of Mexico until further notice, and the government has shut most public and government activities in the area. The emergency decree, published today in the state gazette, gives the president authority to take more action.

“The federal government under my charge will not hesitate a moment to take all, all the measures necessary to respond with efficiency and opportunity to this respiratory epidemic,” Calderon said today during a speech to inaugurate a hospital in the southern state of Oaxaca.

At least 20 deaths in Mexico from the disease are confirmed, Health Minister Jose Cordova said yesterday. The strain is a variant of H1N1 swine influenza that has also sickened at least eight people in California and Texas. As many as 68 deaths may be attributed to the virus in Mexico, and about 1,000 people in the Mexico City area are showing symptoms of the illness, Cordoba said.

Obama’s Visit
The first case was seen in Mexico on April 13. The outbreak coincided with the President Barack Obama’s trip to Mexico City on April 16. Obama was received at Mexico’s anthropology museum in Mexico City by Felipe Solis, a distinguished archeologist who died the following day from symptoms similar to flu, Reforma newspaper reported. The newspaper didn’t confirm if Solis had swine flu or not.

The Mexican government is distributing breathing masks to curtail the disease’s spread. There is no vaccine against the new strain of swine flu, health authorities said.
Museums, theaters and other venues in the Mexico City area, where large crowds gather, have shut down voluntarily and concerts and other events canceled to help contain the disease. Two professional soccer games will be played tomorrow in different Mexico City stadiums without any fans, El Universal newspaper reported. Catholic masses will be held, the newspaper said, although church officials urged worshipers to wear breath masks and to avoid contact.
Schools will likely remain closed next week, Calderon said in the Oaxaca speech. The decree allows Calderon to regulate transportation, enter any home or building for inspection, order quarantines and assign any task to all federal, state and local authorities as well as health professionals to combat the disease.
“The health of Mexicans is a cause that we’re defending with unity and responsibility,” Calderon said. “I know that although it’s a grave problem, a serious problem, we’re going to overcome it.”
Normal Airport Operations
Mexico City’s international airport, which handles about 70,000 passengers each day, is operating normally, said Victor Mejia, a spokesman. Passengers are given a questionnaire asking if they have flu symptoms and recommending they cancel their trip and see a doctor if they do. The measures are voluntary, Mejia said, and no case of swine flu in airport passengers, workers or visitors has been confirmed.
Authorities throughout Central America have issued alerts to prevent the outbreak from spreading. Guatemala ordered tighter control yesterday of its northern border with Mexico, according to EFE. Gerberth Morales, who’s heading the Guatemala government’s response, said no cases of swine flu have been reported in his country, the Spanish news agency reported.
Brazil is intensifying vigilance in ports, airports and borders to check travelers’ health, luggage, aircrafts and ships in a preventive action against the outbreak in Mexico, the Agency for Sanitary Vigilance said on its Web site.
To contact the reporter on this story: Thomas Black in Monterrey at
Last Updated: April 25, 2009 16:45 EDT
hattip KBD and Sally

Travel Health Precaution

Swine Influenza and Severe Cases of Respiratory Illness in Mexico
This information is current as of today, April 25, 2009 at 17:03

Updated: April 25, 2009

Current Situation

According to the World Health Organization, the Government of Mexico has reported three separate events of influenza-like-illness. In the Federal District of Mexico, surveillance began picking up cases of influenza-like-illnesses starting on March 18th, 2009. The number of cases has risen steadily through April and as of April 23rd, there were more than 854 cases of pneumonia from the capital. Of those, 59 have died. In San Luis Potosi, located in central Mexico, 24 cases of influenza-like-illness, with three deaths, have been reported. And from Mexicali, near the border with the United States, four cases of influenza-like-illness, with no deaths, have been reported.

The majority of these cases have occurred in otherwise healthy young adults. Seasonal influenza normally affects the very young and the very old, but these age groups have not been heavily affected in Mexico based on the information above.

CDC has confirmed that seven of 14 respiratory specimens sent to the CDC by the Mexican National Influenza Center are positive for swine influenza virus and are similar to the swine influenza viruses recently identified in the US among residents of California and Texas.

CDC and state public and animal health authorities are currently investigating 8 cases of swine flu in humans in California and Texas that may be related to cases in Mexico. At this time there have been no severe illnesses or fatalities seen in the United States.

To date, there have been no reported cases of influenza-like-illness in the resort areas along the coast of Mexico.

This investigation is still in the early stages. Further updates to this investigation and any related travel recommendations will be posted on when available.

CDC Recommendations

CDC has NOT recommended that people avoid travel to Mexico at this time. If you are planning travel to Mexico, follow these recommendations to reduce your risk of infection and help you stay healthy.

Monitor the International Situation

Check updates from the:

Prepare for your trip before you leave

  • Visit CDC's Travelers’ Health Website to learn about any disease risks and CDC health recommendations for areas you plan to visit.
  • See a travel medicine specialist or a doctor familiar with travel medicine at least 4–6 weeks before you leave to answer your questions and make specific recommendations for you.
  • Antiviral Medications: People at higher risk for complications from seasonal influenza—such as older people, young children, and people with certain health conditions (such as asthma, diabetes, or heart disease)— may want to ask their doctor for prescription antiviral medications to take on their trip. The seasonal influenza vaccine is not expected to protect against infection with swine flu viruses. CDC recommends two prescription influenza antiviral drugs to treat and/or prevent swine flu. The drugs are oseltamivir (brand name Tamiflu®) or zanamivir (brand name Relenza®). Both are prescription drugs that fight against swine flu by keeping flu viruses from reproducing in your body. These drugs can prevent infection if taken as a preventative. If you get sick, they can make your illness milder and make you feel better faster. They may also prevent serious health problems from developing. For treatment, the drugs work best if started within 2 days of getting sick. Talk to your doctor about correct indications for treatment or prevention. Always seek medical care if you are severely ill.
  • Be sure you are up-to-date with all your routine vaccinations, including seasonal influenza vaccine if available.
  • Pack a travel health kit that contains basic first aid and medical supplies. See Pack Smart in Your Survival Guide to Safe and Healthy Travel for a list of what to include in your travel health kit.
  • Identify the health-care resources in the area(s) you will be visiting.
  • Check if your health insurance plan will cover you abroad. Consider purchasing additional insurance that covers medical evacuation in case you become sick. For more information, see Medical Information for Americans Traveling Abroad from the U.S. Department of State.
  • Remember that U.S. embassies, consulates and military facilities do not have the legal authority, capability, and resources to give medications, vaccines or medical care to private U.S. citizens overseas.

During your visit to an area affected by swine flu

Monitor the local situation
  • Pay attention to announcements from the local government.
  • Follow local public health guidelines, including any movement restrictions and prevention recommendations.
Practice healthy habits to help stop the spread of germs
  • Wash your hands often with soap and water. This removes germs from your skin and helps prevent diseases from spreading.
    • Use waterless alcohol-based hand gels (containing at least 60% alcohol) when soap is not available and hands are not visibly dirty.
  • Cover your mouth and nose with a tissue when you cough or sneeze and put your used tissue in a wastebasket.
  • If you don't have a tissue, cough or sneeze into your upper sleeve, not your hands.
  • Wash your hands after coughing or sneezing, using soap and water or an alcohol-based hand gel.
  • Follow all local health recommendations. For example, you may be asked to put on a surgical mask to protect others.
Seek medical care if you feel sick
  • If you become sick with a fever plus a cough and sore throat or have trouble breathing, seek medical care right away. Tell the doctor if you have had contact with a sick person or farm animals while traveling.
  • If you need to find local medical care while in Mexico, a U.S. consular officer can help you locate medical services and will inform your family or friends in the United States of your illness. To contact the U.S. Embassy or consulate in Mexico, call the Overseas Citizens Services at:
    • 1-888-407-4747 if calling from the U.S. or Canada
    • 00 1 202-501-4444 if calling from overseas
    • US Embassy in Mexico

After you return from Mexico

  • Pay close attention to your health for 7 days.
  • If you become sick with a fever plus a cough, sore throat or have trouble breathing during this 10-day period, see a doctor. When you make the appointment, tell the doctor―
    1. your symptoms,
    2. where you traveled, and
    3. if you have had close contact with a sick person or farm animals. This way, he or she can be aware that you have traveled to an area reporting swine Influenza.
    • Do not travel when you are sick, unless it is to get medical care. By limiting contact with others as much as possible, you can help prevent the spread of an infectious illness.

Additional Information

If you have specific questions about the swine influenza cases see or call 1-800-232-4636, which is 1-800-CDC-INFO.

To learn more about travel health, visit

For the swine Influenza situation in Mexico, visit:

Suspected avian influenza cases to five kaafirs Sheikh

Saturday, April 25, 2009 - 15:59
The number of cases of bird flu to 66 during the last week

Five cases have been detained, including two children, hospital, Kafr El-Sheikh, on suspicion of having bird flu, they are Semitic, Mohamed Abdel-Aziz (45 years) Yusuf Jamal Mohammed (3 years) request Fathi Abdou (23 years), Izzat Abu Yazid Mohamed (25 years), Amr Ibrahim Zidane (4 years), a brother of the girl child Manar Ibrahim case No. 66 with the bird flu virus last week, after the emergence of symptoms of very high temperature and
runny nose.

Taking a sample was suspected to be infected by the disease, and being a factor analysis of the Ministry of Health to determine positive or negative.

Kansas state officials confirm two flu cases-CNN

25 Apr 2009 20:26:06 GMT
Source: Reuters

WASHINGTON, April 25 (Reuters) - Kansas state health officials have confirmed two cases of swine flu, just minutes after New York health officials said they had eight probable cases, CNN reported on Saturday.

Health officials across the United States are testing for the new and unusual strain of H1N1 swine flu that is suspected of killing 68 people in Mexico and that has caused mild illness in at least eight people in the United States.

New York schoolchildren had flu, official says

New York schoolchildren had flu, official says
25 Apr 2009 20:19:58 GMT
Source: Reuters

WASHINGTON, April 25 (Reuters) - Tests have confirmed that eight New York city schoolchildren had a type A influenza virus, likely swine flu, New York city health commissioner Dr. Thomas Frieden said on Saturday.

Samples have been sent to the U.S. Centers for Disease Control and Prevention for further testing to see if they are indeed the unusual H1N1 flu strain that has killed up to 68 people in Mexico and may have sickened others, Frieden told a news conference.

"In every single case, illness was mild. Many of the children are feeling better," Frieden said.

(Reporting by Maggie Fox, editing by Patricia Zengerle)

New York sends flu samples from school to CDC-CNN

25 Apr 2009 19:33:57 GMT
Source: Reuters
WASHINGTON, April 25 (Reuters) - Students at a New York City school have tested positive for Type A influenza, CNN reported on Saturday, but more tests are needed to see if they have the unusual new flu virus involved in an outbreak in Mexico, it said.

The television network, quoting local health officials, said the New York City health department was sending samples from nine students who had flu-like symptoms to the U.S. Centers for Disease Control and Prevention in Atlanta for more detailed testing.

About 100 students at a school in the New York City borough of Queens became sick last week, prompting the tests, according to local media reports. A quick throat swab test can tell if a person has influenza but further testing is usually required to determine the strain.

CDC officials said earlier on Saturday they were waiting for local health officials to ask for help and that they were not involved in the New York investigation. They noted that outbreaks of respiratory illness are common and do not necessarily mean that people have flu.

Public health officials in the United States, Canada and Mexico are on heightened alert to flu outbreaks because of a new influenza strain in the A/H1N1 family suspected of killing as many as 68 people in Mexico and infecting more than 1,000 more, including eight in the United States. World Health Organization experts are set to declare the outbreak is a "public health event of international concern" and are assessing the risks the outbreak will turn into a pandemic.

WHO: Mexico swine flu has 'pandemic potential'

By FRANK JORDANS, Associated Press Writer Frank Jordans, Associated Press Writer 59 mins ago

GENEVA – An outbreak of swine flu in Mexico and the United States is a quickly evolving situation that has "pandemic potential," the head of the World Health Organization said Saturday before an emergency meeting of flu experts.

WHO Director-General Margaret Chan said the North American outbreak of a never-before-seen virus was a very serious situation.

She called Saturday's emergency meeting to consider declaring an international public health emergency over the outbreak, which is believed to have killed dozens of people in Mexico and sickened at least eight in the U.S.

The experts are also expected to recommend whether WHO should raise its pandemic alert to a higher level.


"The situation is evolving quickly," Chan said at a telephone news conference in Geneva. "A new disease is by definition poorly understood.

"In the assessment of WHO, this is a serious situation which must be watched very closely."

"This is an animal strain of the H1N1 virus, and it has pandemic potential because it is infecting people," Chan said.

"However, we cannot say, on the basis of currently available laboratory, epidemiological and clinical evidence, whether or not it will indeed cause a pandemic," she added.

It is the first time Chan has convened such a crisis panel since the procedure was created almost two years ago, spokesman Gregory Hartl said.

The committee may decide Saturday that the outbreak constitutes a public health emergency, and if so, whether WHO should consider measures including travel advisories, trade restrictions and border closures.

The global body's flu pandemic alert level is now set to phase three — meaning there is no or very limited risk of a new virus spreading from human to human.

The committee "will be asked, 'should we raise the alert level to phase four or phase five,' depending on their appreciation of how far the virus has spread," Hartl said.

An increased alert level was considered likely, as initial evidence from the outbreak in Mexico indicates the virus has spread between people. Hartl said, however, that a decision would not be made Saturday.

World Health Organization: Swine flu could spread globally

updated 22 minutes ago

(CNN) -- The presence of swine flu in Mexico and the United States is "a serious situation" that could develop into a pandemic, the World Health Organization's director-general said Saturday.

"This is an animal strain of the H1N1 virus and it has pandemic potential because it is infecting people," Dr. Margaret Chan said Saturday speaking to reporters by phone.

Asked whether the committee would address raising the agency's alert concerning the virus to 6, a pandemic alert and the highest level on WHO's scale, Chan said, "Yes, indeed."

The alert stands at 3, meaning "No or very limited human-to-human transmission."


Indonesia: The Patient's house Suspek Bird Flu Ditempel the Quarantine Sticker

[Edit To Add: This is not a new case. This is part of a "simulation".]
Sabtu, 25 April 2009 - 17:19 wib
MAKASSAR - Government efforts of the Makassar City to deal with pandemic Bird Flu was carried out by means of giving the sign of Quarantine in the wall of his house. One of the houses that dikarantina was belonging to Takin (63), the Resident of the Setapak Alley 20 No 8, the District of Kassi-kassi, the Kapocini Subdistrict, Makassar, South Sulawesi.

According to his son-in-law, Sulaeha, Takin experienced the hot sign and the cough, was accompanied breathless ended visited to his friend's house. "Was finished visited to the friend's house, his body deman," said he to the reporter in his house, on Saturday (25/4/2009). Said by Sulaeha, since his parent-in-law's body experienced hot was accompanied by the cough, he then brought Takin to the clinic was checked. The "doctor's words, the father experienced the sign" of the "Bird Flu illness, completely that immediately was reconciled to Rumah Sakit Grestalina," he revealed.

So far 4 thousand are infected, it is no cure: Ssa

The Health Secretary said that with proper and sufficient medicines to deal with cases that have been presented, clarified that the consumption of pork does not involve any risk.

The head of the agency, José Ángel Córdova, reported that of 68 deaths in recent days with symptoms similar to influenza, it was confirmed that 20 were derived from the disease and 48 are still under study.

Fully explained that they had identified the virus to establish the type of antiviral drugs to combat influenza.

"We have the right medicine and in sufficient quantities (one million doses) for cases that have been submitted and which could make," said the official, who said that right now drugs such as oseltamivir and zanamivir are effective the vaccine.

The Health Secretary acknowledged that the new strain is highly contagious and deadly pandemic properties, which formed an emergency committee on a global scale, led by the World Health Organization (WHO).

He explained that the spread of swine influenza is in the air, salute, kiss, infections in public places and mass, so that the suspension of classes is a highly effective maneuvers to "achieve a break in the transmission of the virus but ruled out the suspension in the workplace.

He also clarified that the consumption of food porcines entails no risk of transmitting the virus.

Extreme measures

The Ministry of Health, in coordination with the health authorities of the Federal District and the State of Mexico, extreme measures to prevent the spread of the virus.

In both entities decided that the theaters, exhibition spaces, entertainment, libraries and other institutions under the government administration will remain closed at least this weekend.

. While José Ángel Córdova announced that all units of family medicine Instituto Mexicano del Seguro Social (IMSS) will remain open Saturday and Sunday hours to respond to requests for consultation.

He said that antivirals will be administered free of charge in public hospitals and in private must be checked for the prescription.

"We are basically talking Oseltamivir and the Instituto Mexicano del Seguro Social Zanamivir also included. We have enough supply, a million doses, an insured amount of purchase and we also now offering to give us WHO antivirals, "he said.

According to the infectologists Alejandro Macías, Instituto Nacional de Nutrición Salvador Zubirán, these drugs are highly effective because they heal in a matter of days and decrease the risk of mortality when the patient reaches the hospital in time. "

Córdova announced cubrebocas to be shared and made available to the public the toll free number 01 800 123 1010 to report any risk.

The virus

The swine influenza virus has a genome Eurasian mutual and that he was transported by one individual to another and then start playing.

"This is the first time we saw an avian strain, two strains in pigs and a human strain," said Center for Disease Control, located in Atlanta.

Laboratory studies in Canada and United States confirmed that it is a mutant variant of H1N1.

Due to the characteristics of their genome, the Health Secretary said that was not developed in Mexico, but it was brought to the country for any traveler. "Well, maybe some Mexican who walked over there to bring you the best."

The virus is highly contagious, causing fever greater than 39 degrees, cough, headache and joint aches, fatigue. The symptoms develop immediately and progressing in less than three days.

The infectologists Alejandro Macias said that the disease process may be complicated by bacteria such as pneumonia or influenza mofilus. “No sería sorprendente que en el cadáver de una persona que estuvo enferma de los pulmones se encuentre otros agentes bacterianos”. "It would not be surprising that the body of a person who was sick of the lungs are other bacterial agents.


The emergence

. • Outbreaks of influenza have been reported in the Federal District, State of Mexico, San Luis Potosi, Baja California, Oaxaca, Tlaxcala, Hidalgo, Veracruz and Aguascalientes.

• The Pan American Health Organization reported that in cases of swine flu in Mexico, 12 are genetically identical to those found in California, United States.

•. • In this emergency will be operational by the weekend the 500 thousand units of IMSS Family Medicine, 227 hospitals in its second and third level and 25 High Specialty Medical Unit.

From australia

Mexico overall This Advice is current for Saturday, 25 April 2009.
Be alert to own security Exercise caution High degree of caution Reconsider your need to travel Do not travel
The advice has been reviewed and reissued. It contains new information under Health Issues (influenza outbreak). The overall level of the advice has not changed
The standard of medical facilities provided by private hospitals in Mexico and other major cities is reasonable. Outside major cities, however, facilities can be very limited. Treatment at private clinics and hospitals is expensive. Doctors and hospitals expect cash payment prior to providing medical services, including for emergency care. Island resorts may lack comprehensive medical facilities.

In late April 2009 Mexican authorities declared that there was a serious outbreak of influenza in several states, including Mexico City, the State of Mexico, Oaxaca, San Luis Potosi, Baja California and Tamulipas. You should consult a doctor or the nearest hospital immediately if you develop flu-like symptoms. Travellers may be asked to declare their state of health at Mexico’s international airports prior to departure.

Swine Flu May Be Named Event of ‘International Concern’ by WHO

By Jason Gale

April 25 (Bloomberg) -- The World Health Organization is set to declare the deadly swine flu virus outbreak in Mexico and the U.S. a global concern, potentially prompting travel restrictions, said a person familiar with the matter.

An emergency committee of the WHO in Geneva will declare the outbreak “a public health event of international concern” in a 4 p.m. teleconference today, said the person, who spoke on condition of anonymity because the meeting is confidential. In response, WHO Director-General Margaret Chan may raise the level of pandemic alert, which could lead to travel restrictions aimed at curbing the disease’s spread.

“These levels of pandemic alert are all signals for action,” said Malik Peiris, a professor of microbiology at the University of Hong Kong, who has studied influenza viruses for more than a decade. “Raising the level of alertness to influenza, especially in returning travelers, would be a relevant thing to do.”

Human-to-human spread of the previously unseen H1N1 swine influenza in Mexico and the U.S. is heightening concern that the virus may spark a pandemic. At least 68 people have died and more than 1,000 have fallen ill with flu-like symptoms in the Mexico City region in the past month, Jose Cordova, Mexico’s Health Minister, told reporters yesterday. The government has shut schools and distributed face masks.

Sari Setiogi, a WHO spokeswoman in Geneva, declined to comment on the agency’s response, saying it will depend on the outcome of today’s meeting.

Closing Theaters

Mexico’s Social Security Institute shut all of the theaters and cultural centers it operates nationwide to avoid spreading the flu strain -- reminiscent of actions implemented during the 2003 SARS outbreak in Asia. Travel curbs imposed there damaged economies throughout the region, where that virus circulated most widely.

In Singapore, where 33 infected people died, gross domestic product shrank 11.4 percent in the second quarter of 2003 because of the severe acute respiratory syndrome.

Swine flu was confirmed in 20 of the deaths so far in Mexico. Of 14 tissue samples tested from Mexico, half were a genetic match with the swine flu reported in eight people in California and Texas, the Atlanta-based Centers of Disease Control and Prevention said.

“We do not know whether this swine flu virus or some other influenza virus will lead to the next pandemic,” Richard Besser, the CDC’s acting director, told reporters yesterday on a teleconference. “Scientists around the world continue to monitor the virus and take its threat seriously.”

Pandemic Threat

The new influenza strain, a conglomeration of genes from swine, bird and human viruses, poses the biggest threat of a large-scale flu pandemic since the emergence of the H5N1 strain that has killed millions of birds and hundreds of people, said William Schaffner, an influenza expert at Vanderbilt University School of Medicine in Nashville, Tennessee.

“It re-combined to create something totally new,” David Butler-Jones, Canada’s chief public health minister, told reporters yesterday. “How, when, or where it did that I don’t think we know. What it will lead to is impossible to predict.”

WHO’s alert level is at level 3, meaning there is no, or very limited, human-to-human transmission of a potential pandemic virus. Officials at the agency have said the global spread of the H5N1 bird flu virus since 2003 has put the world closer to another influenza pandemic than at any time since 1968, when the last of the previous century’s three pandemics occurred.

Alert System

WHO uses a six-step alert system to tell the world what preparations to take in response to a pandemic. Flu can spread quickly when a new strain emerges because no one has natural immunity and a vaccine takes months to develop. The 1918 Spanish Flu pandemic, which killed as many as 50 million people, began when an avian flu virus jumped to people, doctors said.

Teams of disease investigators have been sent to California and Texas to trace how the malady has spread, and the U.S. offered to send scientists to Mexico, said the CDC’s Besser. U.S. hospitals are being asked to collect samples from patients with flu-like symptoms, said Schaffner, chief of preventive medicine at Vanderbilt, in a telephone interview yesterday.

Sense of Urgency’

“They are asking us who work in hospitals to go to our emergency rooms and our pediatric wards to gather specimens and start testing them,” Schaffner said. “This has a sense of urgency about it.”

Mexico’s government has closed schools, museums, movie theaters and libraries in Mexico City and surrounding areas until further notice, according to an e-mail from the National Arts and Culture Council. It’s also handing out free facemasks and extending the deadline for filing taxes until May 31, Cordova said. A million doses of antiviral medicine are available for distribution, he said.

Twenty-four cases, including three deaths, have been reported in San Luis Potosi, in central Mexico, and four cases have been found in Mexicali near the border with the U.S., according to the WHO.

Three main human flu strains -- H3N2, H1N1 and type-B -- circulate and cause 250,000 to 500,000 deaths a year in seasonal epidemics, according to the World Health Organization. Pandemics occur when a novel influenza A-type virus, to which almost no one has natural immunity, emerges and begins spreading.

A suspected case of avian influenza Rawash

Saturday, April 25, 2009 - 13:31
New bird flu infection level إصابة جديد بأنفلونزا الطيور بالصعيد New bird flu infection level

قنا ـ هند المغربى Qena India Morocco

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احتجزت مستشفى حميات قنا اليوم السبت، حالة للاشتباه فى إصابتها بمرض أنفلونزا الطيور، حيث دخلت سعيدة عبد القوى محمد (50 سنة) ربة منزل إلى المستشفى فى حالة إعياء شديد تعانى من ارتفاع فى درجة الحرارة والسعال الشديد وأعراض مشابهة للمرض. Detained hospital fevers Qena on Saturday, the case on suspicion of being infected with bird flu, where the forces entered happy Abdul Mohamed (50 years) housewife to the hospital in case of severe fatigue suffer from high fever and severe coughing and the symptoms are similar to the disease.

تبين أن المريضة كانت مخالطة لطيور مصابة، ونفق عدد منها فى الفترة الماضية. Indicate that the patient had contact with infected birds, and a number of them died in the last period.
تم أخذ عينة من المريضة وإرسالها إلى المعامل المركزية بالقاهرة للتأكد من إصابتها بالمرض من عدمه. Sample was taken from the patient and sent to the central laboratory in Cairo confirmed to be infected with the disease or not.

Texas family quarantined after son contracts swine flu

updated 1 hour, 37 minutes ago

(CNN) -- As Hayden Henshaw was being rushed to the doctor's office after becoming ill, his father heard that his son's classmates had been struck with the deadly swine flu virus like the one sweeping through Mexico.

Patrick Henshaw called his wife immediately to have Hayden checked for it. Later, they received the bad news.

Hayden had become the third confirmed case of swine flu at his Texas high school. It is a virus that has killed 68 people in Mexico and infected at least eight people in the United States.

Health officials arrived at the Henshaws' house Friday and drew blood from the whole family, then told them to stay inside and away from the public, Henshaw told CNN.

The whole family is quarantined indefinitely, according to CNN-affiliate KABB. Henshaw said his family was shocked when they got the news about their son.

"Stunned. My wife was having a panic attack," Henshaw told the affiliate.

U.S. health officials have expressed concern about U.S. cases of a swine flu virus that has similar characteristics to the fatal virus in Mexico.

More than 1,000 people have fallen ill in Mexico City in a short period of time, U.S. health experts said.

"This situation has been developing quickly," Richard Besser, acting director of the Atlanta, Georgia-based Centers for Disease Control and Prevention (CDC), said Friday. "This is something we are worried about."

Besser said all of the eight U.S. patients have recovered. Video Watch for more on the U.S. cases »

New York health officials said Friday they were testing about 75 students at a school in New York City for swine flu after the students exhibited flu-like symptoms this week.

A team of state health department doctors and staff went to the St. Francis Preparatory School in the borough of Queens on Thursday after the students reported cough, fever, sore throat, aches and pains.

Test results are expected as early as Saturday.

The new virus has genes from North American swine influenza, avian influenza, human influenza and a form of swine influenza normally found in Asia and Europe, said Nancy Cox, chief of the CDC's Influenza Division.

Swine flu is caused by a virus similar to a type of flu virus that infects people every year but is a strain typically found only in pigs -- or in people who have direct contact with pigs.

There have, however, been cases of person-to-person transmission of swine flu, the CDC said.

hattip pixie and inspiration

Death «Ms. pregnant» infected with bird flu ..

24/04/2009 24/04/2009
وممثلة «الصحة العالمية» تزور مصر للاطلاع علي تقارير الحالات المتوفاة And the representative of «WHO» visiting Egypt for the reports of cases, the deceased

ضبط شحنة من الدواجن المصابة بالفيروس في مطروح.. Control the shipment of poultry infected with HIV in the table .. واحتجاز سيدتين في المنوفية للاشتباه في إصابتهما And the detention of two women in Menoufia on suspicion of injured كتب ــ طارق عبدالعزيز والمحافظات: Tariq Aziz wrote and provinces:

كشف الدكتور عادل خطاب ـ مستشار وزير الصحة لإنفلونزا الطيور ـ في تصريحات لـ«الدستور» عن زيارة ممثلة منظمة الصحة العالمية البروفيسور ناهوكو شونجو لمصر للاطلاع علي الوضع السائد فيها حالياً، خاصة مع ارتفاع أعداد الإصابة بالمرض مؤخراً. Dr. Adel Khattab Advisor to the Minister of Health for bird flu in a statement to Al «constitution» on the visit of the representative of the World Health Organization Professor Nahoko Shunju to Egypt to get acquainted with the situation now, especially with the increase in the numbers of the disease recently.
وأشار خطاب إلي زيارة شونجو مستشفي الدمرداش للاطلاع علي حالة الوفاة الأخيرة قامت بزيارة مستشفي حميات كفر الشيخ أمس الأول للاطلاع علي حالة الوفاة الخاصة بالطفل علي محمد علي سمعة البالغ من العمر 6 سنوات، وتقرير الوفاة الخاص به، He added that the visit Chunzhu Demerdash hospital for the death last visited the Kafr El-Sheikh hospital admitted yesterday for the case of death of children on the reputation of Muhammad Ali, aged 6 years, and the report of his death,

موضحاً أن طبيعة الفيروس لم تتغير حتي الآن لافتاً إلي إمكانية تحوره في أي وقت نافياً أن تكون منظمة الصحة العالمية طلبت إجراء تحقيق عن الأوضاع في مصر. He pointed out that the nature of the virus has not changed so far, pointing out the possibility mutate at any time denied that the World Health Organization requested an investigation of conditions in Egypt.
وأعلنت وزارة الصحة عن وفاة الحالة رقم 25 بمرض إنفلونزا الطيور وهي هدية صلاح رجب من حي المرج بالقاهرة والتي كانت تعد أول سيدة حامل تصاب بالفيروس والذي تسببت أعراضه في فقدها الجنين بالشهر الثامن من الحمل في وقت سابق لوفاتها. The Ministry of Health for the death of the No. 25 with bird flu, a gift from the district of Salah Ragab Lawn in Cairo which was the first pregnant woman infected with HIV and the symptoms caused by the loss of the fetus in the eighth month of pregnancy at the time of her death earlier.
وتعد هدية هي الحالة الثانية التي يودي بحياتها المرض خلال عام 2009 الجاري عقب وفاة الطفل علي محمد علي سمعة من محافظة القليوبية إثر فشل في التنفس عقب إصابته بمرض إنفلونزا الطيور، وبذلك تتصدر مصر دول العالم في أعداد الإصابة بمرض إنفلونزا الطيور خلال عام 2009 وتحتل المركز الثالث عالمياً في أعداد الوفيات والإصابة بشكل إجمالي بعد كل من فيتنام وإندونيسيا. The gift is the second case, which claim to their disease during 2009 following the death of this child, Ali Mohammed Ali's reputation of tolerance in the respiratory failure after a bird disease, avian influenza, Egypt and so the top of the world in the number of cases of avian influenza during 2009, and ranks third the world in the number of deaths and injuries in total after the Vietnam and Indonesia.

وفي المحافظات أعلنت مديرية الشئون الصحية بالمنوفية عن احتجاز حالتين للاشتباه في إصابتهما بمرض إنفلونزا الطيور وتم سحب عينة من الحالتين وإرسالها إلي معامل وزارة الصحة لفحصها بالقاهرة وتم تحويلهما إلي مستشفي حميات شبين الكوم بعد ظهور أعراض رشح واحتقان بالحلق عليهما. At the provincial health department announced Menoufia affairs for the detention of two suspected bird flu disease bird samples were withdrawn from the case and sent to the laboratories of the Ministry of Health in Cairo for examination, was admitted to hospital for conversion Shebin after the emergence of symptoms of sore throat and running them.

وفي مطروح تمكنت اللجنة المشتركة لمكافحة إنفلونزا الطيور بمحافظة مطروح من ضبط سيارة محملة بـ1660 دجاجة حية بنقطة الكمين الثابت بمدينة الحمام بالساحل الشمالي قادمة من الإسكندرية إلي مطروح وبتوقيع الكشف عليها تبين إصابة الطيور بإنفلونزا الطيور وتبين من فحص الأوراق أن التصريح الذي يحمله سائق السيارة مزور مما دفع السلطات لإعدام الدواجن وتحرير محضر بالواقعة. At the Joint Commission is able to combat avian influenza control the province of a car is loaded with live chickens 1660 ambush fixed point in the bathroom coming from the northern coast of Alexandria is to detect the signature of the birds found the bird flu has shown that the examination of the papers carried the statement by the driver of the car, prompting a false authorities for culling poultry and filed a report on the incident.